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

KENTRELL L GADDIS SR.

Active Sole Proprietor

KENTRELL L GADDIS SR. is a Behavior Analyst healthcare provider located in OKC, Oklahoma. NPI 1841557881 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · OKC, OK

Registration Details

NPI Number
1841557881
Provider Type
Individual
Gender
Male
NPI Issued
Apr 16, 2012 (14.311540013737 yrs)
Last Updated
Apr 16, 2012
License
M999910701 (OK)
Sole Proprietor
Yes

Practice Information

Address
4026 NE 19TH CIRCLE
OKC, OK, 731214604
Browse OK providers · Browse ZIP 73121
Phone
4055899260
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in OKC, OK

Name Credential NPI
JAMES PAUL MALTOS BHRS 1255607503
MS. JULIA MENYON TREVILLION MHR 1952657967
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.