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NPI Code Detail

MEDICARE: ASHLEY CATLIN

MEDICARE: ASHLEY CATLIN
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
1106E00000XAssistant Behavior Analyst
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1588233563
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY CATLIN
Provider Business Mailing Address
First Line : 4929 DARCY WOODS LN
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-7622
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4929 DARCY WOODS LN
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-7622
Country : US
Telephone Number : 919-810-1459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2021
Last Update Date : 03/24/2022

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Directions to “ ASHLEY CATLIN ” Practice Location

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