Phobos Behavioral of South Tulsa LLC

NPI #1376311209 in Tulsa, Oklahoma

Provider Information

NPI Number: 1376311209
Entity Type: Organization
Organization Name: Phobos Behavioral of South Tulsa LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 20, 2023
Last Updated: Dec 20, 2023

Practice Location

Address: 8242 S HARVARD AVE STE A
City: Tulsa
State: Oklahoma
ZIP Code: 74137-1648
Phone: (918) 392-3461

Authorized Official

Name: ANTHONY TYLER OWENS, BCBA, NCSP, LBP
Title: EXECUTIVE DIRECTOR
Phone: (539) 240-4735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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