Individual
MR. CRAIG ANTHONY BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 NW 161ST ST, EDMOND, OK 73013-3208
(405) 823-2319
Mailing address
4900 NW 161ST ST, EDMOND, OK 73013-3208
(405) 823-2319
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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