Individual
MRS. JUANICE EVONNE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
2013 PLYMOUTH LN, OKLAHOMA CITY, OK 73120-4222
(405) 751-3220
Mailing address
2013 PLYMOUTH LN, OKLAHOMA CITY, OK 73120-4222
(405) 751-3220
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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