MEDICARE: ASHLEY D FARRELL

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	106S00000X	Behavior Technician		FL

General Provider Information

NPI Number	:	1811856644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY D FARRELL

Provider Business Mailing Address
First Line	:	2008 SACRAMENTO
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-2346
Country	:	US
Telephone Number	:	954-279-0481
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 SACRAMENTO
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-2346
Country	:	US
Telephone Number	:	954-279-0481
Fax Number	:

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ ASHLEY D FARRELL ” Practice Location

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