Individual
JOSELITO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2222 BROOK DR, CHOCTAW, OK 73020-7249
(405) 593-9354
Mailing address
2222 BROOK DR, CHOCTAW, OK 73020-7249
(405) 593-9354
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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