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Individual

MR. JAMES LEVON NICHOLS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
718 NE 70TH ST, OKLAHOMA CITY, OK 73105-5810
(405) 249-8556
Mailing address
718 NE 70TH ST, OKLAHOMA CITY, OK 73105-5810
(405) 249-8556

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
OK

Other

Enumeration date
09/20/2012
Last updated
09/20/2012
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