| Ascend Aba Oklahoma Llc | |
|
401 E Memorial Rd Oklahoma City OK 73114-2288 | |
| (800) 345-0448 | |
| Not Available |
| Full Name | Ascend Aba Oklahoma Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 401 E Memorial Rd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Bradley R Champlin (OWNER) |
| Authorized Official Contact | 9137065149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Aba Oklahoma Llc 5545 Wilson Rd Colorado Springs CO 80919-3530 Ph: (913) 706-5149 | Ascend Aba Oklahoma Llc 401 E Memorial Rd Oklahoma City OK 73114-2288 Ph: (800) 345-0448 |
| NPI Number | 1134732266 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134732266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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