Healthcare Provider Details

I. General information

NPI: 1114434164
Provider Name (Legal Business Name): ASHLEY COONES BS, BCABA, LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2017
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 STATE ST
SAGINAW MI
48602-3966
US

IV. Provider business mailing address

2525 STATE ST
SAGINAW MI
48602-3966
US

V. Phone/Fax

Practice location:
  • Phone: 248-299-0030
  • Fax:
Mailing address:
  • Phone: 248-299-0030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number7402000277
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: