Individual
KELBY D CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
409 S FRETZ AVE STE D, EDMOND, OK 73003-5570
(405) 216-3391
(405) 216-3391
Mailing address
PO BOX 2164, EDMOND, OK 73083-2164
(405) 216-3391
(405) 216-3391
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-282458
OK
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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