Healthcare Provider Details

I. General information

NPI: 1871128561
Provider Name (Legal Business Name): ASHLEY ELIZABETH PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 E LASSEN AVE
CHICO CA
95973-7823
US

IV. Provider business mailing address

287 RIO LINDO AVE
CHICO CA
95926-1973
US

V. Phone/Fax

Practice location:
  • Phone: 530-267-1765
  • Fax:
Mailing address:
  • Phone: 530-893-4784
  • Fax: 530-893-6144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: