Individual
RACHAEL ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5077 S 76TH EAST AVE APT A, TULSA, OK 74145-6234
(918) 734-3731
Mailing address
5077 S 76TH EAST AVE APT A, TULSA, OK 74145-6234
(918) 734-3731
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053317883
BEHAVIORAL HEALTH
—
Enumeration date
03/31/2017
Last updated
03/31/2017
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