Individual
CHISMA B JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
4515 E 91ST ST STE 201, TULSA, OK 74137-2862
(918) 730-9123
Mailing address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
09/25/2019
Last updated
06/21/2021
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