MR. Muase Thao

NPI #1104579788 in Tulsa, Oklahoma

Provider Information

NPI Number: 1104579788
Entity Type: Individual
Name: MR. Muase Thao
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 2, 2022
Last Updated: Feb 3, 2022

Practice Location

Address: 4712 S 91ST EAST AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74145-7247
Phone: (918) 202-4367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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