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Individual

DR. YANA HESTAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7535 S GRANITE CT, TULSA, OK 74136-7253
(918) 728-8255
Mailing address
7535 S GRANITE CT, TULSA, OK 74136-7253
(918) 728-8255

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
103G00000X
Clinical Neuropsychologist
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05271789
OK
05
05271978
OK
Enumeration date
04/03/2017
Last updated
04/03/2017
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