Healthcare Provider Details

I. General information

NPI: 1023836293
Provider Name (Legal Business Name): ASHLEY SALCIDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2024
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 BUCKNER TARSNEY RD
GRAIN VALLEY MO
64029-8398
US

IV. Provider business mailing address

105 SW EAGLES PKWY
GRAIN VALLEY MO
64029-8512
US

V. Phone/Fax

Practice location:
  • Phone: 816-265-1170
  • Fax:
Mailing address:
  • Phone: 816-265-1170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-380621
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number2025028375
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: