Healthcare Provider Details

I. General information

NPI: 1952978827
Provider Name (Legal Business Name): ASHLEY NAGHASH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 ROWLAND RD STE 250
MINNETONKA MN
55343-4315
US

IV. Provider business mailing address

5810 W 131ST STREET CIR
SAVAGE MN
55378-2469
US

V. Phone/Fax

Practice location:
  • Phone: 310-467-6851
  • Fax:
Mailing address:
  • Phone: 310-467-6851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0210
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: