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NPI Code Detail

MEDICARE: ASHA WARD

MEDICARE: ASHA WARD
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1811859572
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHA WARD
Provider Business Mailing Address
First Line : 2211 SAINT ANDREWS BLVD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-2167
Country : US
Telephone Number : 850-818-0095
Fax Number :
Provider Business Practice Location Address
First Line : 2211 SAINT ANDREWS BLVD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-2167
Country : US
Telephone Number : 850-818-0095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ ASHA WARD ” Practice Location

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