Individual
MISS KORI CHALYN SAMPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
2301 NW 122ND ST, #2414, OKLAHOMA CITY, OK 73120-8447
(918) 521-2233
Mailing address
2301 NW 122ND ST., #2414, OKLAHOMA CITY, OK 73120
(918) 521-2233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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