Individual
MS. MARY TENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPED, RBT
Contact information
Practice address
8007 NORTHWEST 122ND ST, OKLAHOMA CITY, OK 73142
(405) 603-6622
Mailing address
8007 NORTHWEST 122ND ST, OKLAHOMA CITY, OK 73142
(405) 603-6622
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-277694
OK
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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