Mayson Breeann Evans
Behavior Technician in Tulsa, OK. Individual provider (NPI-1).
NPI number1689286395
StatusActive
Last updated in NPPESAug 24, 2020
Details
- NPI
- 1689286395
- Entity type
- Individual (NPI-1)
- Name
- Mayson Breeann Evans
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2020
- Certification date
- Aug 24, 2020
- Last updated
- Aug 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7306 S Yale AveTulsa, OK 74136-7027
Phone 918-280-0090 · Fax 918-561-6764
Mailing address
7107 S Yale Ave # 161Tulsa, OK 74136-6308
Phone 918-280-0090 · Fax 918-561-6764
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