Individual
KAMEELAH DESHAWN CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 WATERWOOD PKWY STE G-B2, EDMOND, OK 73034-5355
(405) 844-8085
Mailing address
1216 NW 104TH ST, OKLAHOMA CITY, OK 73114-5012
(405) 204-4763
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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