Individual
ALEXIS TAMAMASUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2248 NW 164TH ST, EDMOND, OK 73013-8801
(405) 605-2663
Mailing address
3517 NW 164TH TER, EDMOND, OK 73013-9471
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84452
OK
Other
Enumeration date
08/13/2020
Last updated
10/20/2025
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