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NPI Code Detail

MEDICARE: ASHLEY KOUTEN COUGHLIN BCBA

MEDICARE: ASHLEY KOUTEN COUGHLIN BCBA
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
1103K00000XBehavior Analyst1-18-33521SC

General Provider Information

NPI Number : 1215409552
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY KOUTEN COUGHLIN BCBA
Provider Business Mailing Address
First Line : 1305 RUNNYMEADE LN
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-3392
Country : US
Telephone Number : 864-561-4594
Fax Number :
Provider Business Practice Location Address
First Line : 222 RED BANK RD
Second Line :
City : GOOSE CREEK
State : SC
Zip : 29445-4502
Country : US
Telephone Number : 843-628-2935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2018
Last Update Date : 02/02/2026

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