Individual
MS. ANGELA MUSILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1732 S KELLY AVE, EDMOND, OK 73013-3630
(405) 844-8085
Mailing address
805 DOUGLAS AVE, SAND SPRINGS, OK 74063-7419
(918) 815-4195
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
101Y00000
OK
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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