Individual
MRS. JANIS HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 NE WOODLAND RD, PONCA CITY, OK 74604-3826
(405) 209-4220
Mailing address
1805 NE WOODLAND RD, PONCA CITY, OK 74604-3826
(405) 209-4220
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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