MEDICARE: EMILY ASHBAUGH

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		CA

General Provider Information

NPI Number	:	1346841954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ASHBAUGH

Provider Business Mailing Address
First Line	:	2100 SEVILLE DR
Second Line	:
City	:	SANTA PAULA
State	:	CA
Zip	:	93060-8042
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 SEVILLE DR
Second Line	:
City	:	SANTA PAULA
State	:	CA
Zip	:	93060-8042
Country	:	US
Telephone Number	:	530-308-0531
Fax Number	:

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

Provider Enumeration Date	:	11/02/2020
Last Update Date	:	11/02/2020

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Directions to “ EMILY ASHBAUGH ” Practice Location

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