Individual
LARISSA ELAINE SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4103 S YALE AVE STE B, TULSA, OK 74135-6002
(918) 382-7300
Mailing address
4103 S YALE AVE STE B, TULSA, OK 74135-6002
(559) 967-5470
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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