Individual
TRISTAN MAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15201A CROWN AT LONE OAK RD, EDMOND, OK 73013-2272
(479) 318-2300
Mailing address
15201A CROWN AT LONE OAK RD, EDMOND, OK 73013-2272
(479) 318-2300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/25/2023
Last updated
11/18/2024
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