MEDICARE: ASHLEY JOSEPH

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	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1457903908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY JOSEPH

Provider Business Mailing Address
First Line	:	2743 SMITH RANCH RD
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-5204
Country	:	US
Telephone Number	:	281-215-3985
Fax Number	:

Provider Business Practice Location Address
First Line	:	2743 SMITH RANCH RD
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-5204
Country	:	US
Telephone Number	:	281-215-3985
Fax Number	:

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

Provider Enumeration Date	:	07/15/2019
Last Update Date	:	10/18/2023

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Directions to “ ASHLEY JOSEPH ” Practice Location

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