Individual
BILLY PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
218 R ST NE, ARDMORE, OK 73401-7714
(539) 323-5237
Mailing address
218 R ST NE, ARDMORE, OK 73401-7714
(539) 323-5237
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
N081313248
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N081313248
DRIVERS LICENSE
OK
Enumeration date
01/30/2020
Last updated
01/30/2020
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