De'lisa Monique Thacker

Behavior Analyst · Lawton, OK

Individual Active NPI

NPI number 1841565827

Practice location

2823 NW Mobley Ave
Lawton, OK 73507-1135
Phone
(903) 721-4658

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NPI record

NPI
1841565827
Entity type
Individual (Type 1)
Enumeration date
March 9, 2012
Last updated
March 9, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

2823 NW Mobley Ave
Lawton, OK 72507-1135
Phone
(903) 721-4658

About De'lisa Thacker

De'lisa Monique Thacker is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 2823 NW Mobley Ave, Lawton, OK 73507-1135. The NPI number 1841565827 was assigned on March 9, 2012 and the record was last updated on March 9, 2012.

Frequently asked questions

What is the NPI number of De'lisa Monique Thacker?

The NPI number is 1841565827.

What is the phone number of De'lisa Thacker?

The phone number listed for the practice location is (903) 721-4658.

Where is De'lisa Thacker located?

2823 NW Mobley Ave, Lawton, OK 73507-1135.

What is the taxonomy code for De'lisa Thacker?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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