Individual
MRS. AMY ELIZABETH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
2601 NW 118TH ST, OKLAHOMA CITY, OK 73120-7002
(405) 503-6591
Mailing address
2601 NW 118TH ST, OKLAHOMA CITY, OK 73120-7002
(405) 503-6591
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8108
OK
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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