Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | ||
Y | 103K00000X | Behavior Analyst |
NPI | 1013233139 |
---|---|
Provider Name | Vernita Jones-Cross |
First Address | Lawton, OK 73506-0922 |
Second Address | Lawton, OK 73505-1221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2010 |
Last Update Date | 24/07/2012 |