Lemon Tree Grove Therapy Clinic Of South Tulsa LLC
Behavior Analyst in Tulsa, OK. Organization (NPI-2).
NPI number1760106793
StatusActive
Last updated in NPPESOct 3, 2022
Details
- NPI
- 1760106793
- Entity type
- Organization (NPI-2)
- Legal business name
- Lemon Tree Grove Therapy Clinic Of South Tulsa LLC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2022
- Certification date
- Oct 3, 2022
- Last updated
- Oct 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
8252 S Harvard Ave Ste 151Tulsa, OK 74137-1646
Phone 918-924-5058
Mailing address
8252 S Harvard Ave Ste 151Tulsa, OK 74137-1646
Phone 918-924-5058
Authorized official
Anthony Tyler Owens
Executive Director
5392404735
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