Individual
MR. MANSUR O CHOUDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
12201 N WESTERN AVE, OKLAHOMA CITY, OK 73114-8022
(405) 752-5112
(405) 752-8963
Mailing address
1208 ALEXANDERS TRL, EDMOND, OK 73012-4373
(405) 361-7915
(405) 752-8963
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6911
OK
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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