Blaylock, Alonda
Blaylock, Alonda is an individual health care provider with primary practice located at 1810 E 15Th St Ste A , Tulsa OK 74104-4611. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Blaylock, Alonda can be contacted via phone (918) 410-9668.Contact Information
Primary practice address
1810 E 15Th St Ste A
Tulsa OK 74104-4611
Phone: (918) 410-9668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1831820828 |
|---|---|
| LBN Legal business name | Blaylock, Alonda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2022 |
| Last updated | Jun 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831820828 | NPPES |
| Oklahoma | MEDICAID | SSB005710 |
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