Individual
LISA JOUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 NW 42ND ST, OKLAHOMA CITY, OK 73112-3761
(405) 850-5856
Mailing address
2525 NW 42ND ST, OKLAHOMA CITY, OK 73112-3761
(405) 850-5856
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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