Individual
ALPHONZO R OLIVER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHR, BHRS
Contact information
Practice address
9513 MAYBROOK DR, OKLAHOMA CITY, OK 73159-6553
(405) 414-1367
Mailing address
9513 MAYBROOK DR, OKLAHOMA CITY, OK 73159-6553
(405) 414-1367
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASCX12
—
OK
Enumeration date
03/25/2013
Last updated
03/28/2013
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