Individual
MRS. TERESA OSSENKOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
2525 NW EXPRESSWAY, SUITE 624 A, OKLAHOMA, OK 73112
(405) 242-5070
(405) 242-5071
Mailing address
2913 SW 111TH ST, OKLAHOMA CITY, OK 73170-2505
(405) 378-7572
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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