Individual
OSIE ALINE NEASBITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 3RD NE, ARDMORE, OK 73401-8121
(580) 224-7912
Mailing address
2428 3RD AVE NE, ARDMORE, OK 73401-8121
(580) 224-7912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/22/2013
Last updated
01/24/2025
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