Individual
AINSLEY NICOLE COWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
614 S MAIN ST, STILLWATER, OK 74074-4059
(405) 564-3408
(405) 332-5154
Mailing address
614 S MAIN ST, STILLWATER, OK 74074-4059
(405) 564-3408
(405) 332-5154
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-233198
TX
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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