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Individual

ANTHONY TYLER OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8252 S HARVARD AVE STE 151, TULSA, OK 74137-1646
(539) 240-4735
Mailing address
8252 S HARVARD AVE STE 151, TULSA, OK 74137-1646
(539) 240-4735

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56279
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
08/07/2017
Last updated
10/03/2022
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