Individual
MR. RICHARD LEWIS BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 W 33RD ST, EDMOND, OK 73013-3819
(405) 216-5608
(405) 216-5272
Mailing address
17212 VALLEY CRST, EDMOND, OK 73012-6772
(405) 831-7173
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200123000A
—
OK
Enumeration date
04/14/2011
Last updated
04/14/2011
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