Individual
ASHAKE K OTUBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 E 15TH ST, TULSA, OK 74104-4633
(918) 932-2768
Mailing address
1810 E 15TH ST, TULSA, OK 74104-4633
(918) 932-2768
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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