NPI 1962773382 · live from the CMS NPI Registry
Pamela K Anderson
Behavior Analyst in Tahlequah, OK. National Provider Identifier 1962773382, active.
NPI record
| NPI | 1962773382 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 15481 N Jarvis Rd, Tahlequah, OK 74464 |
| Practice phone | 918-456-5131 |
| Mailing address | 275 Redbud Ln, Tahlequah, OK 74464 |
| Enumerated | January 17, 2012 |
| Last updated | January 17, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.