Healthcare Provider Details

I. General information

NPI: 1013825785
Provider Name (Legal Business Name): ASHLEY LESLIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 E SPEEDWAY BLVD STE 401
TUCSON AZ
85710-1220
US

IV. Provider business mailing address

18014 W TURQUOISE AVE
WADDELL AZ
85355-4144
US

V. Phone/Fax

Practice location:
  • Phone: 520-448-9005
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-422981
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: