Healthcare Provider Details

I. General information

NPI: 1285548412
Provider Name (Legal Business Name): BRITTANY ASHBURN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 PAWNEE ST
LEAVENWORTH KS
66048-1447
US

IV. Provider business mailing address

1329 CENTRAL ST
LEAVENWORTH KS
66048-3183
US

V. Phone/Fax

Practice location:
  • Phone: 785-256-9096
  • Fax:
Mailing address:
  • Phone: 913-547-2814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: