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NPI Code Detail

MEDICARE: SHALANDA FREEMAN BHRS

MEDICARE: SHALANDA FREEMAN BHRS
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 : 1780925065
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHALANDA FREEMAN BHRS
Provider Business Mailing Address
First Line : 5705 E WILSHIRE BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73141-9602
Country : US
Telephone Number : 405-249-5555
Fax Number :
Provider Business Practice Location Address
First Line : 5705 E WILSHIRE BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73141-9602
Country : US
Telephone Number : 405-249-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2013
Last Update Date : 03/11/2013

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Directions to “ SHALANDA FREEMAN BHRS” Practice Location

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