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Individual

MRS. NAJLA LOUISE KUTAIT-FAULKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LBP, BCBA

Contact information

Practice address
8612 S LOUISVILLE AVE, TULSA, OK 74137-2657
(918) 810-3944
(918) 499-1909
Mailing address
8612 S LOUISVILLE AVE, TULSA, OK 74137-2657
(918) 810-3944
(918) 499-1909

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0062
OK
103K00000X
Behavior Analyst
Primary
1000143
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0062
LICENSED BEHAVIORAL PRACTITIONER
OK
Enumeration date
06/11/2010
Last updated
06/27/2017
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