Ophelia Renee Botone

NPI #1649998378 in Tulsa, Oklahoma

Provider Information

NPI Number: 1649998378
Entity Type: Individual
Name: Ophelia Renee Botone
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 18, 2022
Last Updated: Aug 18, 2022

Practice Location

Address: 1810 E 15TH ST STE AB
City: Tulsa
State: Oklahoma
ZIP Code: 74104-4611
Phone: (918) 410-9668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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