Individual
DALLAS KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
146 SW 134TH ST, MOORE, OK 73170-1488
(405) 265-9324
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75112
OK
103K00000X
Behavior Analyst
7446
TX
Other
Enumeration date
06/20/2019
Last updated
03/14/2025
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