Individual
AMIKO FALLON ASAMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 E 91ST ST STE 201, TULSA, OK 74137-2862
(918) 730-9123
Mailing address
RR 1 BOX 144, 444379 E 956 ROAD, GORE, OK 74435-9507
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-86129
OK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/01/2018
Last updated
12/19/2025
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