Individual
CHAD ALAN GOODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 S BOSTON AVE, TULSA, OK 74103-4016
(918) 237-7706
Mailing address
1465 E 52ND ST, TULSA, OK 74105-5707
(918) 237-7706
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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