NPI 1871857243 · live from the CMS NPI Registry
Kalifa Dara Bandele, BA
Behavior Analyst in Tulsa, OK. National Provider Identifier 1871857243, active.
NPI record
| NPI | 1871857243 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 11740 E 21st St, Tulsa, OK 74129 |
| Practice phone | 918-437-9495 |
| Mailing address | 650 S Peoria Ave, Tulsa, OK 74120 |
| Enumerated | June 29, 2012 |
| Last updated | June 29, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.