Individual
SCOTT ALAN COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
57523 MOCCASIN TRAIL ROAD, PRAGUE, OK 74864
(405) 567-0054
Mailing address
600 E. 12TH, ADA, OK 74820
(580) 471-8733
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200125800A
—
OK
Enumeration date
12/15/2008
Last updated
12/15/2008
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