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NPI Code Detail

MEDICARE: ASHLYN BARCOMB LO

MEDICARE: ASHLYN BARCOMB LO
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
1103K00000XBehavior Analyst1-25-83231FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780192351
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLYN BARCOMB LO
Provider Business Mailing Address
First Line : 3780 LETTUCE LN
Second Line :
City : NEW SMYRNA BEACH
State : FL
Zip : 32168-8741
Country : US
Telephone Number : 386-402-0429
Fax Number :
Provider Business Practice Location Address
First Line : 533 N NOVA RD STE 112
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-4420
Country : US
Telephone Number : 386-492-9041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2018
Last Update Date : 03/10/2026

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Directions to “ ASHLYN BARCOMB LO ” Practice Location

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