Individual
CASEY IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 W GRAY ST, SUITE 140, NORMAN, OK 73069-7129
(405) 919-6821
Mailing address
3156 NW EXPRESSWAY, APT 434, OKLAHOMA CITY, OK 73112-4165
(405) 314-5564
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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