Provider Demographics
NPI:1932479144
Name:HARDOIN, RONI J
Entity Type:Individual
Prefix:MS
First Name:RONI
Middle Name:J
Last Name:HARDOIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 YANKEE DR
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:OK
Mailing Address - Zip Code:73086-9103
Mailing Address - Country:US
Mailing Address - Phone:580-622-5195
Mailing Address - Fax:
Practice Address - Street 1:2250 YANKEE DR
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:OK
Practice Address - Zip Code:73086-9103
Practice Address - Country:US
Practice Address - Phone:580-622-5195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst