Individual
JODIE LEANN NETHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 E CHARLOTTE TER, MUSTANG, OK 73064-4928
(830) 328-6868
Mailing address
312 E CHARLOTTE TER, MUSTANG, OK 73064-4928
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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