Organization
WALNUT BEHAVIORAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BARTON (CREDENTIALING SPECIALIST)
(405) 247-0285
Entity
Organization
Contact information
Practice address
2219 SW 74TH ST STE 109-115, OKLAHOMA CITY, OK 73159-3931
(405) 355-3239
Mailing address
PO BOX 12058, OKLAHOMA CITY, OK 73157-2058
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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