Individual
MRS. KARLA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11088 N 116TH EAST AVE, OWASSO, OK 74055-6489
(918) 978-7103
Mailing address
11088 N 116TH EAST AVE, OWASSO, OK 74055-6489
(918) 978-7103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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