Individual
GUYBRETT SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HTS
Contact information
Practice address
3306 N ROCKWELL AVE, BETHANY, OK 73008-3958
(405) 276-7514
Mailing address
3306 N ROCKWELL AVE, BETHANY, OK 73008-3958
(405) 276-7514
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2021
Last updated
06/05/2021
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