Individual
ANTWAN DARNELL BROWN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
Mailing address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
03/01/2021
Last updated
06/22/2022
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