Individual
HALEY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 S DOUGLAS BLVD, SUITE A, MIDWEST CITY, OK 73130-7313
(405) 582-3990
Mailing address
704 EASTVIEW CT, YUKON, OK 73099-3475
(405) 662-9804
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45909
OK
Other
Enumeration date
06/05/2019
Last updated
12/08/2020
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