Individual
TIANDREA JEANAE NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 S. AIR DEPOT, STE 17, MIDWEST CITY, OK 73110
(405) 455-6868
(800) 856-0132
Mailing address
1212 S. AIR DEPOT, STE 17, MIDWEST CITY, OK 73110
(405) 455-6868
(800) 856-0132
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-18-492017
OK
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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