Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | OK |
NPI | 1093486243 |
---|---|
Provider Name | Hurlon Hamilton |
First Address | Oklahoma City, OK 73118-2028 |
Second Address | Spencer, OK 73084-2105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2021 |
Last Update Date | 27/09/2021 |