Individual
TIMBER WALKINGSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6831 S PEORIA AVE, TULSA, OK 74136-3620
(539) 525-0715
(918) 512-7169
Mailing address
6831 S PEORIA AVE, TULSA, OK 74136-3620
(539) 525-0715
(918) 512-7169
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
TBD
OK
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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