MS. Carol Sue Short

NPI #1154745768 in Ada, Oklahoma

Provider Information

NPI Number: 1154745768
Entity Type: Individual
Name: MS. Carol Sue Short
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 18, 2014
Last Updated: Feb 18, 2014

Practice Location

Address: 1100 E 14TH ST
City: Ada
State: Oklahoma
ZIP Code: 74820-6915
Phone: (918) 426-5272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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