Individual
JEREMY WAYNE PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
(405) 561-7928
Mailing address
1529 SUNRISE CIR, NORMAN, OK 73071-2630
(405) 641-8114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-148056
OK
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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