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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CLARENCE EDWARD ANDERSON, M. ED.

Active Sole Proprietor

MR. CLARENCE EDWARD ANDERSON, M. ED. is a Behavior Analyst healthcare provider located in LOCUST GROVE, Oklahoma. NPI 1710258801 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · LOCUST GROVE, OK

Registration Details

NPI Number
1710258801
Provider Type
Individual
Gender
Male
NPI Issued
Jan 20, 2012 (14.376314648533 yrs)
Last Updated
Jan 20, 2012
Sole Proprietor
Yes

Practice Information

Address
15627 S 439
LOCUST GROVE, OK, 743525235
Browse OK providers · Browse ZIP 74352
Phone
9183862254
Primary Specialty
Behavior Analyst
103K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.