Healthcare Provider Details

I. General information

NPI: 1821915356
Provider Name (Legal Business Name): ASHLEY PATTERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18522 OUTER HWY 18
APPLE VALLEY CA
92307-2321
US

IV. Provider business mailing address

14555 HIDDEN CANYON LN
VICTORVILLE CA
92394-6923
US

V. Phone/Fax

Practice location:
  • Phone: 442-321-9172
  • Fax:
Mailing address:
  • Phone: 442-321-9172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: