Individual
ANTUANETTE MARJORIE MAYSUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 W 31ST ST, TULSA, OK 74107-4219
(918) 884-1070
Mailing address
13779 S POPLAR ST, GLENPOOL, OK 74033-3255
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/27/2024
Last updated
02/19/2025
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