Individual
BRYAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2537 N OWASSO AVE, TULSA, OK 74106-3942
(405) 315-3851
Mailing address
2537 N OWASSO AVE, TULSA, OK 74106-3942
(405) 315-3851
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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