Individual
ASHLEY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
(405) 561-7928
Mailing address
2414 NE 35TH ST, LAWTON, OK 73507-1903
(580) 512-0502
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-145350
OK
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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