Individual
MS. TAMARA DORSEY WHITEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1505 W GORE BLVD, LAWTON, OK 73501-3608
(580) 699-2700
(303) 322-9001
Mailing address
502 NW FORT SILL BLVD, LAWTON, OK 73507-6604
(703) 638-0329
(817) 382-2934
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29874
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201075060
—
OK
Enumeration date
03/29/2018
Last updated
12/10/2024
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