Bradley Jack Ashton
Individual provider Active NPI Behavior Analyst · Sapulpa, OK
NPI 1699258186 · NPPES record last updated Sep 11, 2018
Key facts
- NPI
- 1699258186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 23 E Ross Ave
Sapulpa, OK 74066-6423 - Phone
- (918) 227-2016
- NPI assigned
- Sep 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
23 E Ross Ave
Sapulpa, OK 74066-6423
Mailing address
23 E Ross Ave
Sapulpa, OK 74066-6423
Other providers in Sapulpa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.