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NPI Code Detail

MEDICARE: MS. ASHLEY WELLS BCBA

MEDICARE: MS. ASHLEY WELLS 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 Analyst

General Provider Information

NPI Number : 1316812613
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ASHLEY WELLS BCBA
Provider Business Mailing Address
First Line : 10401 BAY POINTE CIR
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-1761
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8920 STONE GREEN WAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40220-4072
Country : US
Telephone Number : 502-915-8343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2025
Last Update Date : 10/07/2025

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