Individual
OLIVIA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., BCBA
Contact information
Practice address
4612 S HARVARD AVE, TULSA, OK 74135-2908
(918) 986-1560
(918) 459-4550
Mailing address
4612 S HARVARD AVE, TULSA, OK 74135-2908
(918) 986-1560
(918) 459-4550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41072
OK
106S00000X
Behavior Technician
RBT-19-83192
—
Other
Enumeration date
09/13/2019
Last updated
03/05/2020
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