MEDICARE: VICTORIA ANNE ASCIUTTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		OK

General Provider Information

NPI Number	:	1407706849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA ANNE ASCIUTTO

Provider Business Mailing Address
First Line	:	14532 N PENNSYLVANIA AVE APT 205
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-6125
Country	:	US
Telephone Number	:	480-255-8788
Fax Number	:	480-255-8788

Provider Business Practice Location Address
First Line	:	600 LIBERTY LN
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73034-9432
Country	:	US
Telephone Number	:	405-548-1029
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “ VICTORIA ANNE ASCIUTTO ” Practice Location

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