Healthcare Provider Details

I. General information

NPI: 1629741236
Provider Name (Legal Business Name): ASHLEY CALABRESE RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 04/26/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 E CHICAGO ST
COLDWATER MI
49036-2074
US

IV. Provider business mailing address

28 W STATE ST APT 16
COLDWATER MI
49036-1083
US

V. Phone/Fax

Practice location:
  • Phone: 517-774-9911
  • Fax:
Mailing address:
  • Phone: 937-723-6453
  • Fax: 855-456-9254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-177866
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: