Individual
MISS TIFANI NICOLE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA BHRS
Contact information
Practice address
4601 MEADOWPARK DR, MIDWEST CITY, OK 73110-7030
(405) 885-2944
Mailing address
4601 MEADOWPARK DR, MIDWEST CITY, OK 73110-7030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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