Individual
MS. SHANTAE DEJEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 NW 86TH ST, APT 301, OKLAHOMA CITY, OK 73114-2191
(405) 802-6263
Mailing address
1025 NW 86TH ST, APT 301, OKLAHOMA CITY, OK 73114-2191
(405) 802-6263
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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