Individual
ALLISON CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 24TH AVE NW STE 110, NORMAN, OK 73069-6556
(405) 310-5306
Mailing address
1018 24TH AVE NW STE 110, NORMAN, OK 73069-6556
(405) 310-5306
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-102581
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265989990
GROUP NPI
—
Enumeration date
10/23/2019
Last updated
10/23/2019
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