Individual
MR. TOMMY LEE VANDERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 S 128TH EAST AVE, TULSA, OK 74128-5430
(918) 955-6921
Mailing address
1410 S 128TH EAST AVE, TULSA, OK 74128-5430
(918) 955-6921
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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