Healthcare Provider Details

I. General information

NPI: 1447755988
Provider Name (Legal Business Name): ASHLEY ELIZABETH BOWMAN BCBA/LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 W WASHINGTON ST STE 4
SUFFOLK VA
23434-5320
US

IV. Provider business mailing address

425 W WASHINGTON ST STE 4
SUFFOLK VA
23434-5320
US

V. Phone/Fax

Practice location:
  • Phone: 757-774-6111
  • Fax:
Mailing address:
  • Phone: 757-974-0972
  • Fax: 757-974-9815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133001994
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: