Individual
TINA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4237 NE 19TH ST, OKLAHOMA, OK 73121
(405) 889-0633
Mailing address
4237 NE 19TH ST, OKLAHOMA, OK 73121
(405) 889-0633
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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