Individual
ANDREA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
600 LIBERTY LN, EDMOND, OK 73034-9432
(405) 548-1029
(817) 549-3173
Mailing address
600 LIBERTY LN, EDMOND, OK 73034-9432
(405) 548-1029
(817) 549-3173
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42512
OK
106S00000X
Behavior Technician
RBT-15-07298
OK
Other
Enumeration date
07/11/2019
Last updated
07/22/2020
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