Individual
MR. JORDAN ADONIS BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 S 22ND ST, MUSKOGEE, OK 74401-5606
(918) 360-6592
Mailing address
913 S 22ND ST, MUSKOGEE, OK 74401-5606
(918) 360-6592
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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