Individual
JERMAINE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 CIMARRON DR, OKLAHOMA CITY, OK 73162-2344
(405) 900-3199
Mailing address
11301 CIMARRON DR, OKLAHOMA CITY, OK 73162-2344
(405) 990-3199
(405) 601-0316
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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