Individual
JENNIFER KELLILYN FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.H.R.S.
Contact information
Practice address
9803 E 84TH ST N, OWASSO, OK 74055-2355
(918) 906-8614
Mailing address
9803 E 84TH ST N, OWASSO, OK 74055-2355
(918) 906-8614
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/15/2012
Last updated
09/15/2012
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