Individual
AMY PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5309 N MACARTHUR BLVD, WARR ACRES, OK 73122-6110
(405) 305-1105
(405) 608-4503
Mailing address
5309 N MACARTHUR BLVD, WARR ACRES, OK 73122-6110
(405) 305-1105
(405) 608-4503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01
—
OK
Enumeration date
10/11/2011
Last updated
10/11/2011
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