Individual
JANAE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
(580) 823-8017
Mailing address
1320 INDIAN DAM RD, LAHOMA, OK 73754-9660
(580) 747-6045
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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