Individual
KASANDRA BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2912 NE LAKEVIEW CIR, LAWTON, OK 73507-7131
(580) 583-4227
Mailing address
2912 NE LAKEVIEW CIR, LAWTON, OK 73507-7131
(580) 583-4227
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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