Charlotte Ann Willis

NPI #1124442561 in Ada, Oklahoma

Provider Information

NPI Number: 1124442561
Entity Type: Individual
Name: Charlotte Ann Willis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 5, 2014
Last Updated: Feb 5, 2014

Practice Location

Address: 2201 E SURREY LN
City: Ada
State: Oklahoma
ZIP Code: 74820-2868
Phone: (580) 272-3674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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