Individual
MR. WAYNE S ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2325 NW 114TH ST, OKLAHOMA CITY, OK 73120-7316
(405) 286-1439
Mailing address
2325 NW 114TH ST, OKLAHOMA CITY, OK 73120-7316
(405) 286-1439
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
U081980911
OK
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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