Healthcare Provider Details

I. General information

NPI: 1548604630
Provider Name (Legal Business Name): ASHLEY RENEE MICHAELS MA., BCBA., LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ASHLEY RENEE HENNING

II. Dates (important events)

Enumeration Date: 04/19/2013
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

858 CLEARVIEW DR
LANSING KS
66043-5205
US

IV. Provider business mailing address

858 CLEARVIEW DR
LANSING KS
66043-5205
US

V. Phone/Fax

Practice location:
  • Phone: 229-251-7930
  • Fax:
Mailing address:
  • Phone: 229-251-7930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-34200
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: