Individual
JEWLES DEVENPORT-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7306 S YALE AVE, TULSA, OK 74136-7027
(855) 223-7123
(619) 374-7134
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-55148
CO
103K00000X
Behavior Analyst
Primary
1-21-55148
OK
Other
Enumeration date
02/08/2018
Last updated
03/28/2024
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