Individual
AMY KAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7107 S YALE AVE # 161, TULSA, OK 74136-6308
(918) 280-0090
(918) 561-6764
Mailing address
7107 S YALE AVE # 161, TULSA, OK 74136-6308
(918) 280-0090
(918) 561-6764
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39406
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200882940A
—
OK
Enumeration date
12/30/2017
Last updated
09/02/2021
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