Ashley Elizabeth Hardison

Individual provider Active NPI Behavior Technician · Abiquiu, NM

NPI 1174188809 · NPPES record last updated May 8, 2019

Key facts

NPI
1174188809
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
House 9 Abiquiu Village
Abiquiu, NM 87510
Phone
(505) 423-5911
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NM Yes

Addresses

Primary practice location

House 9 Abiquiu Village
Abiquiu, NM 87510

Mailing address

PO Box 62
Abiquiu, NM 87510-0062
Phone (505) 423-5911

Other providers in Abiquiu, NM

All providers in Abiquiu, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.