Individual
JUAT GAN LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11063-D S MEMORIAL DR STE 260, TULSA, OK 74133-7362
(855) 832-6727
(772) 675-9100
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56774
OK
Other
Enumeration date
03/16/2020
Last updated
07/14/2023
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