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Organization

KOA BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALISA KUKA M.ED, BCBA, LBA (OWNER)
(808) 348-5397
Entity
Organization

Contact information

Practice address
11917 N 130TH EAST AVE, COLLINSVILLE, OK 74021-1103
(808) 348-5397
Mailing address
11917 N 130TH E AVE, COLLINSVILLE, OK 74021
(808) 348-5397

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/08/2025
Last updated
12/08/2025
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