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
Fax:
Website:

Health care specialties

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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