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NPI Code Detail

MEDICARE: ASHLEY ROSE LARDIE-DICKENS

MEDICARE: ASHLEY ROSE LARDIE-DICKENS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1023947108
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY ROSE LARDIE-DICKENS
Provider Business Mailing Address
First Line : 100 N PACIFIC COAST HWY FL 14
Second Line :
City : EL SEGUNDO
State : CA
Zip : 90245-4359
Country : US
Telephone Number : 424-296-0126
Fax Number : 855-568-2494
Provider Business Practice Location Address
First Line : 7200 S ALTON WAY STE A100
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-2207
Country : US
Telephone Number : 303-945-7063
Fax Number : 855-568-2494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2026
Last Update Date : 05/15/2026

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Directions to “ ASHLEY ROSE LARDIE-DICKENS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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