Individual
ASHTON BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
(918) 805-6971
Mailing address
1445 E OMAHA ST APT B5, BROKEN ARROW, OK 74012-0311
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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