Individual
ALEXIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 S ELM PL STE 106, BROKEN ARROW, OK 74012-5369
(918) 928-5437
Mailing address
7711 E 111TH ST STE 111, TULSA, OK 74133-2563
(918) 928-5437
(888) 720-8944
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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