Ashley Peregrino

Individual provider Active NPI Behavior Technician · Marmaduke, AR

NPI 1699585232 · NPPES record last updated Jan 7, 2025

Key facts

NPI
1699585232
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
304 N 1St St
Marmaduke, AR 72443-9610
Phone
(425) 229-9614
NPI assigned
Jan 7, 2025
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 Yes

Addresses

Primary practice location

304 N 1St St
Marmaduke, AR 72443-9610

Mailing address

400 W Capitol Ave Ste 1700
Little Rock, AR 72201-3438
Phone (501) 613-0385

Other providers in Marmaduke, AR

All providers in Marmaduke, AR · Behavior Technician in Arkansas

Sources for this page

Verify at the official NPI Registry.