-- ALISSA ANTWINE --
Individual Provider (NPI-1)
Active
Behavior Analyst
Provider Information
- NPI Number
1518383421- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11512 BUCKINGHAM CT, YUKON, OK, 730998100
- Phone
- (405) 818-4107
Specialties & Taxonomies
Behavior Analyst
Primary
All Addresses
MAILING
11512 BUCKINGHAM CT
YUKON, OK, 730998100