Stephanie Durazo, BACB1005927

NPI #1912779976 in Tulsa, Oklahoma

Provider Information

NPI Number: 1912779976
Entity Type: Individual
Name: Stephanie Durazo, BACB1005927
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BACB1005927
Enumeration Date: Oct 24, 2023
Last Updated: Oct 24, 2023

Practice Location

Address: 4515 E 91ST ST STE 201
City: Tulsa
State: Oklahoma
ZIP Code: 74137-2862
Phone: (855) 782-7822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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