Provider Demographics
NPI:1417274119
Name:JUNIPER, ANITA L
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:L
Last Name:JUNIPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 NE 38TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73121-6408
Mailing Address - Country:US
Mailing Address - Phone:405-427-5453
Mailing Address - Fax:
Practice Address - Street 1:5001 NE 38TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73121-6408
Practice Address - Country:US
Practice Address - Phone:405-427-5453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst