Individual
REBECCA RECORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 E 91ST ST STE 201, TULSA, OK 74137-2862
(918) 730-9123
Mailing address
4515 E 91ST ST STE 201, TULSA, OK 74137-2862
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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