Healthcare Provider Details

I. General information

NPI: 1306753603
Provider Name (Legal Business Name): ASHLEY NARANJO MOREJON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1398 SW 160TH AVE STE 401
SUNRISE FL
33326-1905
US

IV. Provider business mailing address

8850 NW 8TH STREET, PEMBROKE PINES, FL, USA
PEMBROKE PINES FL
33024
US

V. Phone/Fax

Practice location:
  • Phone: 855-444-5664
  • Fax:
Mailing address:
  • Phone: 754-802-5396
  • 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: