Individual
LINDSAY NICOLE VANBUSKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 12TH AVE NW, ARDMORE, OK 73401-5752
(580) 630-4923
Mailing address
235 12TH AVE NW, ARDMORE, OK 73401-5752
(580) 630-4923
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S081118730
OK
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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