Individual
NOAH A PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
372 BRYAN DR STE 112, DURANT, OK 74701-3466
(903) 444-0910
Mailing address
372 BRYAN DR STE 112, DURANT, OK 74701-3466
(903) 444-0910
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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