Individual
MRS. LISA ANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
308 N ASPEN AVE, BROKEN ARROW, OK 74012-2205
(620) 408-5929
Mailing address
10324 N 127TH EAST AVE, OWASSO, OK 74055-5708
(620) 408-5929
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79776
—
Other
Enumeration date
05/19/2013
Last updated
03/06/2025
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