MEDICARE: ASHLEY N COBAS RBT

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
1	106S00000X	Behavior Technician	22-205031	FL

General Provider Information

NPI Number	:	1083309892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY N COBAS RBT

Provider Business Mailing Address
First Line	:	13872 SW 285TH ST
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33033-5706
Country	:	US
Telephone Number	:	786-296-6242
Fax Number	:

Provider Business Practice Location Address
First Line	:	5050 NW 74TH AVE STE 107
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33166-5509
Country	:	US
Telephone Number	:	305-640-8280
Fax Number	:	305-640-8284

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2023
Last Update Date	:	04/07/2023

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Directions to “ ASHLEY N COBAS RBT” Practice Location

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