Individual
CHANDRA PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 W 36TH ST N, TULSA, OK 74106-1700
(918) 810-4851
Mailing address
1 W 36TH ST N, TULSA, OK 74106-1700
(918) 810-4851
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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