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NPI Code Detail

MEDICARE: MELISSA ANN TURNER BA

MEDICARE: MELISSA ANN TURNER BA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-19-103784OK
2103K00000XBehavior AnalystF083261985OK

General Provider Information

NPI Number : 1790319812
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANN TURNER BA
Provider Business Mailing Address
First Line : 106 W 6TH ST
Second Line :
City : OWASSO
State : OK
Zip : 74055-2432
Country : US
Telephone Number : 918-327-3660
Fax Number :
Provider Business Practice Location Address
First Line : 11412 N 134TH EAST AVE STE C3
Second Line :
City : OWASSO
State : OK
Zip : 74055-4969
Country : US
Telephone Number : 918-376-3087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2020
Last Update Date : 06/30/2023

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Directions to “ MELISSA ANN TURNER BA” Practice Location

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