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Individual

ASHLEY CASTANEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14828 SERENITA AVE., OKLAHOMA CITY, OK 73134
(405) 838-1994
Mailing address
2300 NW 31ST ST, OKLAHOMA CITY, OK 73112-7806
(817) 875-3455

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/14/2021
Last updated
04/14/2021
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