Healthcare Provider Details

I. General information

NPI: 1386589331
Provider Name (Legal Business Name): ASHLEY ASHMANN BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 N SYSTEMS DR STE A
APPLETON WI
54914-6402
US

IV. Provider business mailing address

4 N SYSTEMS DR STE A
APPLETON WI
54914-6402
US

V. Phone/Fax

Practice location:
  • Phone: 920-205-0475
  • Fax:
Mailing address:
  • Phone: 920-205-0475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1525-140
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: