Individual
ROBERT TELFORD BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
116 E PIERCE ST, MANGUM, OK 73554-4295
(866) 926-6552
(580) 547-4076
Mailing address
3809 HERITAGE TRL, ALTUS, OK 73521-1047
(580) 481-0198
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
03/29/2016
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