Individual
REBEKAH LYNNE ASHLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
(580) 402-3717
Mailing address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB711551
OK
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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