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NPI Code Detail

MEDICARE: ASHLEY SHAFTER BCBA

MEDICARE: ASHLEY SHAFTER BCBA
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 Analyst1-23-65320FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275053977
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY SHAFTER BCBA
Provider Business Mailing Address
First Line : 11906 104TH ST
Second Line :
City : LARGO
State : FL
Zip : 33773-2303
Country : US
Telephone Number : 407-761-1655
Fax Number :
Provider Business Practice Location Address
First Line : 7441 114TH AVE STE 604
Second Line :
City : LARGO
State : FL
Zip : 33773-5124
Country : US
Telephone Number : 727-492-5369
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2017
Last Update Date : 05/04/2023

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Directions to “ ASHLEY SHAFTER BCBA” Practice Location

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