(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003042771
Provider Name: CODI RENNE CANNING B.S./ CBHCM
Entity Type: Individual
Taxonomy Code: 103K00000X
Specialty: Behavior Analyst
License Number:
Most Important Dates
Enumeration Date: 06/08/2009
Last Updated: 06/08/2009
Provider Practice Location
4710 S DIVISION ST
GUTHRIE
OK
730446506
Practice Location Phone/Fax
Phone: 4052825524
Fax: 4052824652
Provider Mailing Location
4710 S DIVISION ST
PO BOX 1558
GUTHRIE
OK
730446506
Provider Mailing Phone/Fax
Phone: 4052825524
Fax: 4052824652