Individual
SHEILA GAYLE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
744 SE 25TH ST, OKLAHOMA CITY, OK 73129-4843
(405) 636-1463
Mailing address
2909 MUNSER ST, DEL CITY, OK 73115-2653
(405) 326-5262
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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