Healthcare Provider Details

I. General information

NPI: 1891495677
Provider Name (Legal Business Name): ASHLEY NICOLE BARLOTTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2023
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1532 SW MAPP RD
PALM CITY FL
34990-2446
US

IV. Provider business mailing address

1532 SW MAPP RD
PALM CITY FL
34990-2446
US

V. Phone/Fax

Practice location:
  • Phone: 844-729-2242
  • Fax:
Mailing address:
  • Phone: 844-729-2242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-367972
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: