Healthcare Provider Details

I. General information

NPI: 1447883087
Provider Name (Legal Business Name): AUBREY LYNN ASHBY B.A, RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2020
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1778 N PARK AVE
MAITLAND FL
32751-6504
US

IV. Provider business mailing address

1776 N PARK AVE
MAITLAND FL
32751
US

V. Phone/Fax

Practice location:
  • Phone: 407-318-0938
  • Fax:
Mailing address:
  • Phone: 866-311-4617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89523
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: