Healthcare Provider Details

I. General information

NPI: 1104498914
Provider Name (Legal Business Name): ASHLEY ROBINSON RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2021
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 N PARK RD STE 2
WYOMISSING PA
19610-2941
US

IV. Provider business mailing address

510 N PARK RD STE 2
WYOMISSING PA
19610-2941
US

V. Phone/Fax

Practice location:
  • Phone: 484-516-2330
  • Fax:
Mailing address:
  • Phone: 484-516-2330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020476
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: