Individual
MRS. VERTINA NASHELL LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS SPECIALIST
Contact information
Practice address
7504 NW 11TH ST, OKLAHOMA CITY, OK 73127-4152
(405) 243-3589
Mailing address
7504 NW 11TH ST, OKLAHOMA CITY, OK 73127-4152
(405) 243-3589
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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