Most Relevant Information
Provider Data
| NPI Number: | 1003549817 |
| Provider Name: | ASHTON LOOPER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2022 |
| Last Updated: | 07/08/2022 |
Provider Practice Location
13905 TECHNOLOGY DR
OKLAHOMA CITY
OK
731341054
Practice Location Phone/Fax
| Phone: | 4053894530 |
| Fax: |
Provider Mailing Location
3101 BEVERLY DR
EDMOND
OK
730135334
Provider Mailing Phone/Fax
| Phone: | 5803700138 |
| Fax: |