Tyra Nolan
NPI #1932745452 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1932745452
- Entity Type
- Individual
- Name
- Tyra Nolan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 19, 2019
- Last Updated
- Nov 19, 2019
Practice Location
- Address
- 1212 S AIR DEPOT BLVD STE 17
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-4860
- Phone
- (405) 455-6868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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