Individual
JAMES FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
729 OVERLAND TRL, ENID, OK 73703-6304
(405) 823-8226
Mailing address
729 OVERLAND TRL, ENID, OK 73703-6304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-390217
OK
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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