Healthcare Provider Details

I. General information

NPI: 1033057047
Provider Name (Legal Business Name): ASHLEY LYNN CURTIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 BALANCE ROCK RD APT 5
SEYMOUR CT
06483-6030
US

IV. Provider business mailing address

49 BALANCE ROCK RD APT 5
SEYMOUR CT
06483-6030
US

V. Phone/Fax

Practice location:
  • Phone: 203-893-0443
  • Fax:
Mailing address:
  • Phone: 203-893-0443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: