MEDICARE: TRACY STATEN

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1962784330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY STATEN

Provider Business Mailing Address
First Line	:	8415 E 81ST ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-8030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7049 FRANKOMA RD
Second Line	:	#6, ADMIN BLDG
City	:	TULSA
State	:	OK
Zip	:	74131-2018
Country	:	US
Telephone Number	:	918-960-7852
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2011
Last Update Date	:	09/12/2011

Similar Medicare Providers

1790884120 — ALLEN BOWDEN SCHOOL
Practice Location Address:

7049 FRANKOMA RD
TULSA, OK
74131-2018

Practice Phone: 918-224-4440
Practice Fax: 918-224-0617

1285798942 — ALLEN BOWDEN SCHOOL
Practice Location Address:

7049 FRANKOMA RD
TULSA, OK
74131-2018

Practice Phone: 918-224-4440
Practice Fax: 918-224-0617

1235424797 — SKYLER KRISTINE KIDDY
Practice Location Address:

7049 FRANKOMA RD # 6
TULSA, OK
74131-2018

Practice Phone: 918-960-7852
Practice Fax:

1538456017 — ASHLEY KEENER
Practice Location Address:

7049 FRANKOMA RD # 6
TULSA, OK
74131-2018

Practice Phone: 918-224-4440
Practice Fax:

1528340981 — SHAWNDA FARROW
Practice Location Address:

7049 FRANKOMA RD , #6, ADMIN. BLDG.
TULSA, OK
74131-2018

Practice Phone: 918-960-7852
Practice Fax:

1093097453 — CASSIE CROSTHWAIT
Practice Location Address:

7049 FRANKOMA RD , #6, ADMIN. BLDG.
TULSA, OK
74131-2018

Practice Phone: 918-960-7852
Practice Fax:

Directions to “ TRACY STATEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.