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NPI Code Detail

MEDICARE: ASHLEE DAWN HIGHLEY MA

MEDICARE: ASHLEE DAWN HIGHLEY MA
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 Analyst0-15-6649

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-17-25787OTHERINBCBA

General Provider Information

NPI Number : 1922473768
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEE DAWN HIGHLEY MA
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 765-454-9759
Provider Business Practice Location Address
First Line : 3771 S A ST
Second Line :
City : RICHMOND
State : IN
Zip : 47374-6053
Country : US
Telephone Number : 765-598-4197
Fax Number : 765-454-9759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2015
Last Update Date : 05/02/2018

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Directions to “ ASHLEE DAWN HIGHLEY MA” Practice Location

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