Gregory Deauntra Rideau

NPI #1073956769 in Del City, Oklahoma

Provider Information

NPI Number: 1073956769
Entity Type: Individual
Name: Gregory Deauntra Rideau
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 11, 2013
Last Updated: Apr 11, 2013

Practice Location

Address: 3012 SE 21ST ST
City: Del City
State: Oklahoma
ZIP Code: 73115-1530
Phone: (479) 747-9879

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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