Tava Jan Egnor

NPI #1912693839 in Tulsa, Oklahoma

Provider Information

NPI Number: 1912693839
Entity Type: Individual
Name: Tava Jan Egnor
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 13, 2023
Last Updated: Apr 13, 2023

Practice Location

Address: 3015 E SKELLY DR STE 395
City: Tulsa
State: Oklahoma
ZIP Code: 74105-6348
Phone: (918) 764-8378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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