Individual
CASEY GOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15809 NE 23RD ST, CHOCTAW, OK 73020-8428
(405) 281-1040
(405) 987-1070
Mailing address
15809 NE 23RD ST, CHOCTAW, OK 73020-8428
(405) 281-1040
(405) 987-1070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-527798
OK
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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