Individual
MR. QUINCY LEE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 N THOMPKINS AVE, BETHANY, OK 73008-4455
(405) 361-2630
Mailing address
2800 N THOMPKINS AVE, BETHANY, OK 73008-4455
(405) 361-2630
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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