Individual
MISS MELISHA CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6831 S PEORIA AVE, TULSA, OK 74136-3620
(573) 462-6792
Mailing address
6831 S PEORIA AVE, TULSA, OK 74136-3620
(573) 462-6792
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396431144
—
OK
Enumeration date
12/18/2023
Last updated
12/18/2023
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