Individual
SHANIC ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 W I 44 SERVICE RD, SUITE 202, OKLAHOMA CITY, OK 73112-3720
(405) 406-1985
Mailing address
3412 LAZY LN, DEL CITY, OK 73115-1957
(405) 406-1985
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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