Individual
KASANDRA DANIELLE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2921 E 91ST ST, TULSA, OK 74137-3322
(918) 298-5059
Mailing address
11505 S 250TH EAST AVE, BROKEN ARROW, OK 74014-4153
(501) 388-0092
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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