Whalio Doctors

NPI 1003489089

Pavoua Xiong, RBT

Practitioner Behavior Technician Broken Arrow, OK

Practice location

Address
3501 W Kenosha St, Broken Arrow, OK 74012-8948
Phone
(918) 994-2764

Registered specialties

Behavior Technician Primary
Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-21-176476 (OK)

Registry record

NPI
1003489089
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Jul 2021
Record last updated
19 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.