Individual
CODI CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 HOPPE BLVD, ADA, OK 74820-2318
(405) 857-8280
(405) 857-8489
Mailing address
1300 HOPPE BLVD, ADA, OK 74820-2318
(405) 857-8280
(405) 857-8489
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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