Individual
MYA J ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
(855) 782-7822
Mailing address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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