Individual
JONATHAN DINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1629 S MAIN ST STE A, GROVE, OK 74344-5368
(918) 557-4496
Mailing address
4245 S 188TH EAST AVE, TULSA, OK 74134-7267
(918) 282-7201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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