Individual
KYLIE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 E 91ST ST STE 201, TULSA, OK 74137-2810
(855) 782-7822
Mailing address
101 PARK AVE STE 1300, OKLAHOMA CITY, OK 73102-7216
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
07/23/2025
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