Ashlyn Paige Bridges
Individual provider Active NPI Behavior Technician · Kennett, MO
NPI 1912691122 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1912691122
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1226 Independence Ave
Kennett, MO 63857-1316 - Phone
- (573) 559-2380
- NPI assigned
- Jun 8, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1226 Independence Ave
Kennett, MO 63857-1316
Mailing address
1226 Independence Ave
Kennett, MO 63857-1316
Phone (573) 559-2380
Other providers in Kennett, MO
- Brian Branum
- Marsha J Branum
- Teresa Brasher
- Dione A Breakfield
- Joleen Brege
- Peggy Lynn Bridges
- Tonya Renee Bridges
- Jessica Elaine Britt
- Emmelee Jean Britton-Harper
- Judy Britton
All providers in Kennett, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 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.