Breaux, Corlissa M
Breaux, Corlissa M is an individual health care provider with primary practice located at 2504 E 71St St Ste C , Tulsa OK 74136-5574. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Breaux, Corlissa M can be contacted via phone (800) 275-6776.Contact Information
Primary practice address
2504 E 71St St Ste C
Tulsa OK 74136-5574
Phone: (800) 275-6776
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X |
Profile Details
NPI number | 1740955699 |
---|---|
LBN Legal business name | Breaux, Corlissa M |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2021 |
Last updated | Aug 12th, 2021 - about 3 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.
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