Individual
ANDREA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4908 S SHERIDAN RD, TULSA, OK 74145-5712
(918) 984-9153
Mailing address
4908 S SHERIDAN RD, TULSA, OK 74145-5712
(918) 984-9153
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-18-52843
OK
106S00000X
Behavior Technician
RBT-18-52843
MS
Other
Enumeration date
07/10/2019
Last updated
02/24/2020
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