Individual
MICHAEL MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
3015 E SKELLY DR STE 395, TULSA, OK 74105-6317
(918) 764-8378
(877) 655-4360
Mailing address
14202 E 84TH ST N APT 202, OWASSO, OK 74055-7603
(918) 557-5719
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
10/03/2022
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