Most Relevant Information
Provider Data
| NPI Number: | 1003276973 |
| Provider Name: | LISA WATKINS |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | G000053186 |
Most Important Dates
| Enumeration Date: | 03/04/2016 |
| Last Updated: | 03/04/2016 |
Provider Practice Location
1104 NW 10TH #B
OKLAHOMA CITY
OK
73170
Practice Location Phone/Fax
| Phone: | 9139403768 |
| Fax: |
Provider Mailing Location
1104 NW 10TH ST APT B
MOORE
OK
731701256
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |