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NPI Code Detail

MEDICARE: ASHLEY M WOODFORD

MEDICARE:   ASHLEY M WOODFORD
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1205271558
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY M WOODFORD
Provider Business Mailing Address
First Line : 4332 TWIN PEAKS DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0111
Country : US
Telephone Number : 702-813-5413
Fax Number :
Provider Business Practice Location Address
First Line : 5135 CAMINO AL NORTE STE 230
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-2391
Country : US
Telephone Number : 702-853-6727
Fax Number : 702-853-7001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2013
Last Update Date : 09/20/2022

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Directions to “ ASHLEY M WOODFORD ” Practice Location

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