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TAMMY SUE SHIRLEY BACHELOR-BA

Behavioral Analyst

Wynnewood, Oklahoma

Provider NPI: 1346579836

Provider Information:
 TAMMY SUE SHIRLEY BACHELOR-BA
Gender: F
Not Sole Proprietor

Practice Location:
406WESTCHICKASAWWYNNEWOOD,OKLAHOMA73098 202SOUTHWASHITA WYNNEWOOD, OK 73098 US
Tel: 405-665-2540  Fax: 405-665-6396

Business Mailing Address:
406WESTCHICKASAW 202SOUTHWASHITA WYNNEWOOD, OK 73098 US
Tel: 405-665-2540  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X

OK103K0000X

Other Provider Identifiers:

IssuerNumberStateType
P5A4G5E4OK05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS OK - Page 1



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