Individual
CARLOTTA ANNETTE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6706 NW 29TH TER, BETHANY, OK 73008-4734
(405) 800-6012
Mailing address
6706 NW 29TH TER, BETHANY, OK 73008-4734
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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