Individual
ASHLEY ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 E MAIN PLACE, JENKS, OK 74003
(918) 209-5190
Mailing address
14709 S VANCOUVER AVE, GLENPOOL, OK 74033-4306
(727) 314-9206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
01/16/2025
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