Individual
JADYN AVERY CRANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
614 S MAIN ST, STILLWATER, OK 74074-4059
(405) 564-3408
Mailing address
1760 SPORTSMAN LN, VAN ALSTYNE, TX 75495-8178
(903) 870-8506
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-354716
OK
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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