Most Relevant Information
Provider Data
| NPI Number: | 1003419540 |
| Provider Name: | ALEXIS SARRACINO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/18/2020 |
| Last Updated: | 11/18/2020 |
Provider Practice Location
7306 S YALE AVE
TULSA
OK
741367027
Practice Location Phone/Fax
| Phone: | 9182800090 |
| Fax: | 9185616764 |
Provider Mailing Location
7306 S YALE AVE
TULSA
OK
741367027
Provider Mailing Phone/Fax
| Phone: | 9182800090 |
| Fax: | 9185616764 |