Individual
LONNIE WOODBERRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13101 S PENN AVE, SUITE 9, OKLAHOMA CITY, OK 73170-4900
(405) 809-3542
Mailing address
3129 NE 18TH ST, OKLAHOMA CITY, OK 73121-2807
(405) 408-1168
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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