Individual
MR. CHARLES ROBERT ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
1892 HOLLOW OAK DR, KINGSTON, OK 73439-9745
(405) 564-5253
Mailing address
1892 HOLLOW OAK DR, KINGSTON, OK 73439-9745
(405) 564-5253
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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