Individual
MARCUS DERRELL GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12107 HERITAGE PARK RD, 136, OKLAHOMA CITY, OK 73120-9514
(707) 731-3357
Mailing address
12107 HERITAGE PARK RD, 136, OKLAHOMA CITY, OK 73120-9514
(707) 731-3357
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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