Individual
JACOB TAYLOR ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15201A CROWN LONE OAK RD., EDMOND, OK 73013
(405) 849-4033
Mailing address
15201A CROWN LONE OAK RD., EDMOND, OK 73013
(405) 849-4033
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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