Individual
ASHLEY MOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7485 PHELAN BLVD, BEAUMONT, TX 77706-5748
(409) 842-9898
(409) 745-8104
Mailing address
7485 PHELAN BLVD, BEAUMONT, TX 77706-5748
(409) 842-9898
(409) 745-8104
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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