Individual
CHAD JOSEPH TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11308 SW 5TH ST APT 7001, YUKON, OK 73099-0253
(405) 838-6679
Mailing address
11308 SW 5TH ST APT 7001, YUKON, OK 73099-0253
(405) 838-6679
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-260485
OK
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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