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NPI 1205348901

NPI 1205348901 : ASHLEY MARIE HORTON BCBA, LABA : WESTFORD, MA

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General NPI Number Information
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    NPI Number           |    1205348901
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY MARIE HORTON BCBA, LABA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/02/2017
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    Last Update Date     |    03/23/2023
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Provider Practice Location Address
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    Address Line         |    515 GROTON RD 
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    City                 |    WESTFORD
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    State                |    MA
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    Zip                  |    01886-6321
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    Country              |    US
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    Telephone            |    800-679-3609
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1055 E COLORADO BLVD STE 560 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91106-2380
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    Country              |    US
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    Telephone            |    818-241-6780
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    11727818
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    License Number State |    MA
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