Individual
SYLVIA SHALOM OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7306 S YALE AVE, TULSA, OK 74136-7027
(918) 280-0090
Mailing address
7107 S YALE AVE # 161, TULSA, OK 74136-6308
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45064
OK
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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