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NPI Code Detail

MEDICARE: ASHLEY WILLIAMS BCBA

MEDICARE: ASHLEY WILLIAMS 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
1222Q00000XDevelopmental Therapist
2103K00000XBehavior Analyst1-19-37365

General Provider Information

NPI Number : 1902348881
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY WILLIAMS BCBA
Provider Business Mailing Address
First Line : 8885 RIO SAN DIEGO DR STE 340
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1669
Country : US
Telephone Number : 619-795-9925
Fax Number :
Provider Business Practice Location Address
First Line : 8885 RIO SAN DIEGO DR STE 340
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1669
Country : US
Telephone Number : 619-795-9925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2016
Last Update Date : 02/25/2020

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Directions to “ ASHLEY WILLIAMS BCBA” Practice Location

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