Individual
SHARKISTA NASHAUN UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1815 N BOOMER RD, #A5, STILLWATER, OK 74075-3402
(405) 210-1999
Mailing address
1815 N BOOMER RD, #A5, STILLWATER, OK 74075-3402
(405) 210-1999
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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