Individual
MRS. BRANDY J BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 N.W. EXPRESSWAY, SUITE 624-A, OKLAHOMACITY, OK 73112-0000
(405) 242-5070
Mailing address
3000 S. 9TH ST, LOT 79, PURCELL, OK 73080-0000
(405) 615-0283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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