Tarra Lynn Wilson, RBT

NPI #1952916819 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1952916819
Entity Type: Individual
Name: Tarra Lynn Wilson, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Sep 8, 2020
Last Updated: Apr 9, 2024

Practice Location

Address: 817 S ELM PL STE 104
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-5369
Phone: (918) 928-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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