Individual
ANGELA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N HICKORY ST, SAPULPA, OK 74066-1719
(918) 852-8713
Mailing address
PO BOX 157, SAPULPA, OK 74067-0157
(918) 852-8713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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