MEDICARE: ASHLEY KLEINE M.ED, 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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1700302031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY KLEINE M.ED, BCBA

Provider Business Mailing Address
First Line	:	4620 SPRING CANYON HTS
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-9400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7606 N UNION BLVD STE 120
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3873
Country	:	US
Telephone Number	:	970-872-8133
Fax Number	:

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

Provider Enumeration Date	:	08/17/2017
Last Update Date	:	03/21/2025

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