Individual
AUDREY TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
(918) 560-1399
Mailing address
4908 S SHERIDAN RD, TULSA, OK 74145-5712
(918) 984-9153
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66279
OK
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/15/2022
Last updated
06/26/2023
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