Ashley Brock, RBT
Individual provider Active NPI Behavior Technician · Winfield, WV
NPI 1477049609 · NPPES record last updated Jul 11, 2018
Key facts
- NPI
- 1477049609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-18-50876 (WV)
- Practice address
- 2631 State Route 34
Winfield, WV 25213 - Phone
- (681) 235-3114
- Fax
- (866) 332-2962
- NPI assigned
- Jul 11, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-50876 | WV | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-50876 | WV | Yes |
Addresses
Primary practice location
2631 State Route 34
Winfield, WV 25213
Mailing address
PO Box 4100
Barboursville, WV 25504-4100
Phone (304) 955-6200
Other providers in Winfield, WV
- Cara Branham-Brown
- Jessica Brewer
- Bright Futures Learning Services
- Rachel Brinkerhoff
- Darin Briscoe
- Teresa Lynn Brown
- Heatherly Ann Bryan
- Karen H. Burdette
- Jeni Butler
- Dylan Charles Cain
All providers in Winfield, WV · Behavior Technician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.