Individual
TIFFANY RENET LADELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
633 NE 85TH ST, OKLAHOMA CITY, OK 73114-3921
(405) 625-4186
Mailing address
633 NE 85TH ST, OKLAHOMA CITY, OK 73114-3921
(405) 625-4186
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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