Individual
TYREE DONATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 NW 58TH ST, OKLAHOMA CITY, OK 73112-4804
(405) 412-4437
Mailing address
3535 NW 58TH ST, OKLAHOMA CITY, OK 73112-4804
(405) 412-4437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
261QM0801X
OK
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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