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Individual

MRS. ASHLEY NICHOLE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1106 N 155TH ST STE B, BASEHOR, KS 66007-7100
(913) 662-7071
Mailing address
2383 ROAD C, AMERICUS, KS 66835-9532
(620) 794-4179

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
00588
KS
103K00000X
Behavior Analyst
086
KS
103K00000X
Behavior Analyst
Primary
1-13-12733

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00588
BEHAVIOR SCIENCES REGULATORY BOARD
KS
01
1-13-12733
BEHAVIOR ANALYST CERTIFICATION BOARD
Enumeration date
01/31/2008
Last updated
02/20/2023
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