Individual
GEORGE ALLEN PATE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
432057 STATE HIGHWAY 3, FORT TOWSON, OK 74735-7506
(580) 372-6572
Mailing address
432057 STATE HIGHWAY 3, FORT TOWSON, OK 74735-7506
(580) 372-6572
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12151802
OK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/27/2021
Last updated
10/09/2021
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