Individual
MATTHEW D OUSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
(580) 823-8017
Mailing address
1119 W YORK AVE, ENID, OK 73703-7104
(580) 541-2304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB526241
OK
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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