Individual
DERRICK CHANDLER AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32018 HIGHWAY 59, MAUD, OK 74854-4402
(918) 734-3569
Mailing address
32018 HIGHWAY 59, MAUD, OK 74854-4402
(918) 734-3569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
12/31/2025
Last updated
01/07/2026
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