Healthcare Provider Details

I. General information

NPI: 1528738630
Provider Name (Legal Business Name): ASHLEY M ROWE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY FORD

II. Dates (important events)

Enumeration Date: 09/20/2021
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 BOARDMAN CANFIELD RD
CANFIELD OH
44406-9031
US

IV. Provider business mailing address

150 MARSHALL AVE W
WARREN OH
44483-1425
US

V. Phone/Fax

Practice location:
  • Phone: 330-967-4422
  • Fax:
Mailing address:
  • Phone: 843-321-7928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberCOBA.01895
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: