Provider Demographics
NPI:1578852232
Name:GEETER, DEYONKA DEIL (BHRS)
Entity Type:Individual
Prefix:MRS
First Name:DEYONKA
Middle Name:DEIL
Last Name:GEETER
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2616 N ANN ARBOR AVE APT 120
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-1838
Mailing Address - Country:US
Mailing Address - Phone:405-414-4474
Mailing Address - Fax:
Practice Address - Street 1:2616 N ANN ARBOR AVE APT 120
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-1838
Practice Address - Country:US
Practice Address - Phone:405-414-4474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst