Individual
TRACY STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7049 FRANKOMA RD, #6, ADMIN BLDG, TULSA, OK 74131-2018
(918) 960-7852
Mailing address
8415 E 81ST ST, TULSA, OK 74133-8030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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