Individual
DENNIS BENJAMIN NANTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
729 OVERLAND TRL, ENID, OK 73703-6304
(580) 540-4163
Mailing address
729 OVERLAND TRL, ENID, OK 73703-6304
(580) 540-4163
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-380088
OK
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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