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NPI Code Detail

MEDICARE: ASHLEY WOOD FOURNERAT BCABA

MEDICARE: ASHLEY WOOD FOURNERAT BCABA
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
1106E00000XAssistant Behavior AnalystLA

General Provider Information

NPI Number : 1295033454
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY WOOD FOURNERAT BCABA
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number :
Provider Business Practice Location Address
First Line : 4201 N I 10 SERVICE RD W
Second Line :
City : METAIRIE
State : LA
Zip : 70006-6713
Country : US
Telephone Number : 901-481-5134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2011
Last Update Date : 10/02/2024

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Directions to “ ASHLEY WOOD FOURNERAT BCABA” Practice Location

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