Individual
KIMBERLY TEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 E 15TH ST STE 800B, EDMOND, OK 73013-6682
(405) 455-6868
(405) 562-3444
Mailing address
1700 NW 164TH CIR, EDMOND, OK 73013-1675
(580) 461-0418
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16709
OK
103TS0200X
School Psychologist
—
—
Other
Enumeration date
08/23/2014
Last updated
09/01/2022
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