Healthcare Provider Details

I. General information

NPI: 1831034842
Provider Name (Legal Business Name): ASHLY HAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2427 RUSSELLVILLE RD
BOWLING GREEN KY
42101-3980
US

IV. Provider business mailing address

977 RED CROSS RD
PARK CITY KY
42160-7528
US

V. Phone/Fax

Practice location:
  • Phone: 270-936-7472
  • Fax:
Mailing address:
  • Phone: 270-936-7472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-531832
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: