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TERESA MICHELLE WILLIAMS

Behavioral Analyst

Prague, Oklahoma

Provider NPI: 1255576518

Provider Information:
 TERESA MICHELLE WILLIAMS 
Gender: F
Not Sole Proprietor

Practice Location:
57523 MOCCASIN TRAIL ROAD  PRAGUE, OK 74864 US
Tel: 405-567-0054  Fax: --

Business Mailing Address:
13401 SPRUCE VALLEY DRIVE  JONES, OK 73049 US
Tel: 405-210-8027  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X


Other Provider Identifiers:

IssuerNumberStateType
200125800AOK05
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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