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NPI Code Detail

MEDICARE: MRS. ASHLEY COLLEEN FOGLE BCBA, M.A. SPED.

MEDICARE: MRS. ASHLEY COLLEEN FOGLE BCBA, M.A. SPED.
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 Analyst1-09-6456TX

General Provider Information

NPI Number : 1245550201
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLEY COLLEEN FOGLE BCBA, M.A. SPED.
Provider Business Mailing Address
First Line : 5364 FM 1960 RD E
Second Line :
City : HUMBLE
State : TX
Zip : 77346-2502
Country : US
Telephone Number : 281-852-0501
Fax Number : 281-852-0502
Provider Business Practice Location Address
First Line : 5364 FM 1960 RD E
Second Line :
City : HUMBLE
State : TX
Zip : 77346-2502
Country : US
Telephone Number : 281-852-0501
Fax Number : 281-852-0502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2010
Last Update Date : 06/01/2010

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