Organization
PHOBOS BEHAVIORAL OF SOUTH TULSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY TYLER OWENS BCBA, NCSP, LBP (EXECUTIVE DIRECTOR)
(539) 240-4735
Entity
Organization
Contact information
Practice address
8242 S HARVARD AVE STE A, TULSA, OK 74137-1648
(918) 392-3461
(918) 550-8228
Mailing address
8242 S HARVARD AVE STE A, TULSA, OK 74137-1648
(918) 392-3461
(918) 550-8228
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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