Ashton Chaney
Individual provider Active NPI Behavior Technician · Roxie, MS
NPI 1760164933 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1760164933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1789 Bedford Tillman Rd NW
Roxie, MS 39661-6129 - Phone
- (228) 284-8149
- NPI assigned
- Aug 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1789 Bedford Tillman Rd NW
Roxie, MS 39661-6129
Mailing address
1789 Bedford Tillman Rd NW
Roxie, MS 39661-6129
Phone (228) 284-8149
Other providers in Roxie, MS
All providers in Roxie, MS · Behavior Technician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. 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.