Individual
CALAH EDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1001 SW A AVE, LAWTON, OK 73501-3951
(580) 353-8900
Mailing address
1001 SW A AVE, LAWTON, OK 73501-3951
(580) 353-8900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB959673
OK
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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