MEDICARE: MS. ASHLEY PAGE SCUDDER MA, BCBA, LBA

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	103K00000X	Behavior Analyst	2026001616	MO

General Provider Information

NPI Number	:	1558151423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ASHLEY PAGE SCUDDER MA, BCBA, LBA

Provider Business Mailing Address
First Line	:	600 HOFFMANN DR
Second Line	:
City	:	WATERTOWN
State	:	WI
Zip	:	53094-6223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 HERITAGE LNDG STE 109
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63303-8490
Country	:	US
Telephone Number	:	314-735-0099
Fax Number	:

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

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	03/03/2026

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