Individual
MRS. ANDREA ANN DANTZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
744 SE 25TH ST, OKLAHOMA CITY, OK 73129-4843
(405) 636-1463
Mailing address
16929 VALLEY CRST, EDMOND, OK 73012-6730
(405) 216-5533
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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