Individual
JERMAINE LATRELL SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10400 VINEYARD BLVD, OKLAHOMA CITY, OK 73120-3829
(405) 848-5620
Mailing address
10400 VINEYARD BLVD, OKLAHOMA CITY, OK 73120-3829
(405) 848-5620
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
08/08/2011
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