Most Relevant Information
Provider Data
| NPI Number: | 1003532169 |
| Provider Name: | TEAIRA THOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/19/2022 |
| Last Updated: | 10/19/2022 |
Provider Practice Location
1717 S AIR DEPOT BLVD
MIDWEST CITY
OK
731105103
Practice Location Phone/Fax
| Phone: | 4056224239 |
| Fax: |
Provider Mailing Location
1717 S AIR DEPOT BLVD
MIDWEST CITY
OK
731105103
Provider Mailing Phone/Fax
| Phone: | 4056224239 |
| Fax: |