Jennifer Randolph

NPI #1306201991 in Tulsa, Oklahoma

Provider Information

NPI Number: 1306201991
Entity Type: Individual
Name: Jennifer Randolph
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 23, 2015
Last Updated: Dec 23, 2015

Practice Location

Address: 6202 S LEWIS AVE
Address 2: STE J
City: Tulsa
State: Oklahoma
ZIP Code: 74136-1099
Phone: (918) 584-4549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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