Individual
MARC TRAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7210 NW 39TH EXPY, BETHANY, OK 73008-2335
(510) 415-7606
Mailing address
7210 NW 39TH EXPY, BETHANY, OK 73008-2335
(510) 415-7606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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