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Individual

MATTHEW DOUGLAS PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2240 36TH AVE NW, NORMAN, OK 73072-3251
(405) 266-7746
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59481
OK
106S00000X
Behavior Technician

Other

Enumeration date
05/08/2020
Last updated
06/10/2022
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