Individual
TRACI J PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 216-4999
Mailing address
1001 E 11TH ST, SAND SPRINGS, OK 74063-8965
(918) 859-7626
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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