Avery Alexandria Waddell

NPI #1992533087 in Choctaw, Oklahoma

Provider Information

NPI Number: 1992533087
Entity Type: Individual
Name: Avery Alexandria Waddell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 22, 2024
Last Updated: Sep 4, 2024

Practice Location

Address: 1960 HARPER ST
City: Choctaw
State: Oklahoma
ZIP Code: 73020-8095
Phone: (405) 281-1040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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