Individual
IANTHA ELAINE FUSILIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
24 SW 89TH ST, OKLAHOMA CITY, OK 73139-8510
(405) 838-1038
Mailing address
24 SW 89TH ST, OKLAHOMA CITY, OK 73139-8510
(405) 838-1038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1290
OK
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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