Individual
BALIE NEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 N FLORENCE AVE STE B, CLAREMORE, OK 74017-3159
(918) 608-0380
Mailing address
1402 N FLORENCE AVE STE B, CLAREMORE, OK 74017-3159
(918) 608-0380
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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