DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ASHANTI PEPPERS

MEDICARE: ASHANTI PEPPERS
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
2103K00000XBehavior Analyst265381KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093376584
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHANTI PEPPERS
Provider Business Mailing Address
First Line : 1405 E BURNETT AVE
Second Line :
City : LOUISVILLE
State : KY
Zip : 40217-1577
Country : US
Telephone Number : 502-588-0730
Fax Number :
Provider Business Practice Location Address
First Line : 1015 DORSEY LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-2612
Country : US
Telephone Number : 708-768-1359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2019
Last Update Date : 05/29/2026

Similar Medicare Providers

1447362124 — LESLIE K DELGADO
Practice Location Address:
1015 DORSEY LN
LOUISVILLE, KY
40223-2612
Practice Phone: 502-648-3485
Practice Fax:
1376716688 — UNIVERSITY PEDIATRICS FOUNDATION, INC.
Practice Location Address:
1015 DORSEY LN
LOUISVILLE, KY
40223-2612
Practice Phone: 502-852-8500
Practice Fax: 502-852-8556
1588801203 — MARYHURST, INC.
Practice Location Address:
1015 DORSEY LN
LOUISVILLE, KY
40223-2612
Practice Phone: 502-245-1576
Practice Fax:
1053680082 — MR. PATRICK JOSEPH WAGNER LCSW
Practice Location Address:
1015 DORSEY LN
LOUISVILLE, KY
40223-2612
Practice Phone: 502-245-1576
Practice Fax: 502-245-8973
1063834802 — BRENDA SHORT
Practice Location Address:
1015 DORSEY LN
LOUISVILLE, KY
40223-2612
Practice Phone: 502-271-4657
Practice Fax: 502-254-7906
1851713614 — MARYHURST, INC.
Practice Location Address:
1015 DORSEY LN
LOUISVILLE, KY
40223-2612
Practice Phone: 502-245-1576
Practice Fax:
1710309448 — MS. VIRGINIA GITTLI
Practice Location Address:
1015 DORSEY LN
LOUISVILLE, KY
40223-2612
Practice Phone: 502-245-1576
Practice Fax: 502-254-7906

Directions to “ ASHANTI PEPPERS ” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.