Individual
MICHELLE R. WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA-OK
Contact information
Practice address
10105 S HUDSON AVE, TULSA, OK 74137-6009
(918) 549-8804
Mailing address
10105 S HUDSON AVE, TULSA, OK 74137-6009
(918) 549-8804
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59585
OK
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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