Individual
MISS SHARRON M PETTIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBCM II
Contact information
Practice address
1661 S HICKORY AVE, BARTLESVILLE, OK 74003-5422
(918) 397-0370
Mailing address
1661 S HICKORY AVE, BARTLESVILLE, OK 74003-5422
(918) 397-0370
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
13397
OK
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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