Healthcare Provider Details

I. General information

NPI: 1609615095
Provider Name (Legal Business Name): ASHLEY WARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6325 S JONES BLVD STE 400
LAS VEGAS NV
89118-3332
US

IV. Provider business mailing address

1201 N RAINBOW BLVD APT 43
LAS VEGAS NV
89108-6842
US

V. Phone/Fax

Practice location:
  • Phone: 702-618-9120
  • Fax:
Mailing address:
  • Phone: 725-300-5933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-380693
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: