Individual
TE HARA JULITA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6432 N PENIEL AVE APT 62, OKLAHOMA CITY, OK 73132-7219
(480) 529-0686
Mailing address
6432 N PENIEL AVE APT 62, OKLAHOMA CITY, OK 73132-7219
(480) 529-0686
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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