MEDICARE: DIONE MARIE ASHBY RBI

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

General Provider Information

NPI Number	:	1942725320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIONE MARIE ASHBY RBI

Provider Business Mailing Address
First Line	:	2425 C ST
Second Line	:
City	:	BAKER CITY
State	:	OR
Zip	:	97814-1533
Country	:	US
Telephone Number	:	541-519-3188
Fax Number	:

Provider Business Practice Location Address
First Line	:	10801 EMILY DR
Second Line	:
City	:	ISLAND CITY
State	:	OR
Zip	:	97850-8509
Country	:	US
Telephone Number	:	541-519-3188
Fax Number	:

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

Provider Enumeration Date	:	08/07/2017
Last Update Date	:	08/07/2017

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Directions to “ DIONE MARIE ASHBY RBI” Practice Location

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