Individual
QUINTON JAMES ALLEN GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 N ASPEN AVE, BROKEN ARROW, OK 74012-2205
(539) 777-0940
Mailing address
1688 S SYCAMORE AVE, BROKEN ARROW, OK 74012-5147
(918) 637-3598
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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