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NPI Code Detail

MEDICARE: STEPHEN WASHINGTON

MEDICARE:   STEPHEN  WASHINGTON
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1124441381
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN WASHINGTON
Provider Business Mailing Address
First Line : 2513 NW 119TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-7005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2513 NW 119TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-7005
Country : US
Telephone Number : 405-314-7476
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2014
Last Update Date : 01/23/2014

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Directions to “ STEPHEN WASHINGTON ” Practice Location

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