Individual
MS. MISTY SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9813 SW 33RD ST, YUKON, OK 73099-3494
(405) 446-0846
Mailing address
9813 SW 33RD ST, YUKON, OK 73099-3494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/30/2014
Last updated
02/20/2015
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