Individual
HENRY ALEXANDER CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 4TH AVE SE, ARDMORE, OK 73401-8216
(580) 319-5770
Mailing address
1405 2ND AVE NW APT 309, ARDMORE, OK 73401-2736
(580) 798-7151
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB1226527
OK
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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