Ashley Casillas

Individual provider Active NPI Behavior Analyst · Faribault, MN

NPI 1750103826 · NPPES record last updated Oct 29, 2024

Key facts

NPI
1750103826
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
201 Lyndale Ave S Ste L3
Faribault, MN 55021-5758
Phone
(801) 663-3862
NPI assigned
Oct 29, 2024
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 Analyst 103K00000X Yes

Addresses

Primary practice location

201 Lyndale Ave S Ste L3
Faribault, MN 55021-5758

Mailing address

201 Lyndale Ave S Ste L3
Faribault, MN 55021-5758
Phone (801) 663-3862

Other providers in Faribault, MN

All providers in Faribault, MN · Behavior Analyst in Minnesota

Sources for this page

Verify at the official NPI Registry.