Healthcare Provider Details

I. General information

NPI: 1366018384
Provider Name (Legal Business Name): ASHLEY STRAWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8408 STACY RD
MCKINNEY TX
75070-2142
US

IV. Provider business mailing address

8408 STACY RD
MCKINNEY TX
75070-2142
US

V. Phone/Fax

Practice location:
  • Phone: 469-625-2193
  • Fax:
Mailing address:
  • Phone: 469-625-2193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: