Individual
MR. DARAME DESHAUM CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 W WILSHIRE BLVD STE 220, OKLAHOMA CITY, OK 73116-7036
(405) 879-3443
Mailing address
415 YUKON AVE, YUKON, OK 73099-3915
(405) 501-2129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015662
—
OK
Enumeration date
04/26/2012
Last updated
04/26/2012
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