Individual
ASHLEY ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 COUNTY ROAD 193, GAINESVILLE, TX 76240-0737
(940) 902-2382
Mailing address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21-153667
—
OK
Enumeration date
06/09/2021
Last updated
06/09/2021
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