NPI Code Details Logo

NPI 1578408290

NPI 1578408290 : ASHLEY DENT : MACON, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1578408290
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ASHLEY DENT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/20/2026
-----------------------------------------------------
    Last Update Date     |    04/20/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    500 NORTHSIDE XING STE A 
-----------------------------------------------------
    City                 |    MACON
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31210-2377
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    855-832-6727
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    932 THARPE RD 
-----------------------------------------------------
    City                 |    MUSELLA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31066-2017
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    478-951-8678
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106E00000X
-----------------------------------------------------
    Taxonomy Name        |    Assistant Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.