Individual
MS. MARISSA L PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8242 S HARVARD AVE STE A, TULSA, OK 74137-1648
(918) 561-6697
Mailing address
8242 S HARVARD AVE STE A, TULSA, OK 74137-1648
(918) 561-6697
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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