MEDICARE: ASHLEY PAIGE EPPES

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	106E00000X	Assistant Behavior Analyst	0-18-8759	SC

General Provider Information

NPI Number	:	1700371382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY PAIGE EPPES

Provider Business Mailing Address
First Line	:	1610 LONGVIEW RD
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-9722
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1610 LONGVIEW RD
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-9722
Country	:	US
Telephone Number	:	845-380-2622
Fax Number	:

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

Provider Enumeration Date	:	06/26/2018
Last Update Date	:	06/26/2018

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Directions to “ ASHLEY PAIGE EPPES ” Practice Location

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