Provider Demographics
NPI:1801201942
Name:ADVANCED SCIENCE AND TECHNOLOGY EDUCATION CHARTER SCHOOLS
Entity Type:Organization
Organization Name:ADVANCED SCIENCE AND TECHNOLOGY EDUCATION CHARTER SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESKIN
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:405-947-6273
Mailing Address - Street 1:2401 NW 23RD ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-2442
Mailing Address - Country:US
Mailing Address - Phone:405-947-6273
Mailing Address - Fax:405-947-0035
Practice Address - Street 1:2401 NW 23RD ST
Practice Address - Street 2:SUITE 3
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-2442
Practice Address - Country:US
Practice Address - Phone:405-947-6273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-27
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty