Most Relevant Information
Provider Data
| NPI Number: | 1003362583 |
| Provider Name: | TAMMY SERENA ADAMS FSP |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/25/2016 |
| Last Updated: | 08/25/2016 |
Provider Practice Location
903 DALLAS STREET
TALIHINA
OK
74571
Practice Location Phone/Fax
| Phone: | 9185673293 |
| Fax: | 9185673180 |
Provider Mailing Location
4065 SE 220TH RD
TALIHINA
OK
745716023
Provider Mailing Phone/Fax
| Phone: | 4796515968 |
| Fax: | 9185673180 |