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Individual

TAMMY Y HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PARAPROFESSIONAL

Contact information

Practice address
4901 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73119-4945
(405) 605-4005
Mailing address
PO BOX 21476, OKLAHOMA CITY, OK 73156-1476

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103KD00000X
OK
103K00000X
Behavior Analyst
308994
OK

Other

Enumeration date
04/07/2011
Last updated
10/29/2021
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