Individual
MRS. TYANA RENIEKA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4209 NW 23RD ST STE 100, OKLAHOMA CITY, OK 73107-2645
(405) 917-1709
(405) 917-1713
Mailing address
4613 MEADOWOAK DR, MIDWEST CITY, OK 73110-7022
(405) 474-3935
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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