Individual
ANNABELLE DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3501 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
(918) 994-2764
Mailing address
3501 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
(918) 994-2764
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-187097
OK
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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