Lisa Hardaway

NPI #1134974207 in Idabel, Oklahoma

Provider Information

NPI Number: 1134974207
Entity Type: Individual
Name: Lisa Hardaway
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 22, 2024
Last Updated: Apr 22, 2024

Practice Location

Address: 17 S CENTRAL AVE
City: Idabel
State: Oklahoma
ZIP Code: 74745-4625
Phone: (580) 353-9726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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