MEDICARE: MRS. ASHLEY PRESTON 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
1	103K00000X	Behavior Analyst

Other Identifiers

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

General Provider Information

NPI Number	:	1275986994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY PRESTON BCBA

Provider Business Mailing Address
First Line	:	10325 SE 144TH PL
Second Line	:
City	:	SUMMERFIELD
State	:	FL
Zip	:	34491-3792
Country	:	US
Telephone Number	:	352-430-7861
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 W SILVER SPRINGS BLVD BLDG 200
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34475-5647
Country	:	US
Telephone Number	:	352-358-3700
Fax Number	:

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

Provider Enumeration Date	:	07/18/2016
Last Update Date	:	06/18/2025

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