Individual
MR. BRETT LADISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
7908 NW 23RD ST, BETHANY, OK 73008-4950
(405) 440-1006
Mailing address
744 SE 25TH ST, OKLAHOMA CITY, OK 73129-4843
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/27/2010
Last updated
08/23/2011
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