Individual
DEANNA PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 N ASPEN AVE, BROKEN ARROW, OK 74012-2205
(539) 777-0940
Mailing address
11366 S 251ST EAST AVE, BROKEN ARROW, OK 74014-4200
(918) 344-4326
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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