Individual
MR. DUSTIN D BROWN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3204 ORCHARD AVE, EDMOND, OK 73012-9645
(405) 343-4993
Mailing address
3204 ORCHARD AVE., EDMOND, OK 73012
(405) 343-4993
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/17/2012
Last updated
02/07/2013
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