Individual
MRS. ASHLEY ELIZABETH CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
650 OFFICE PKWY, SAINT LOUIS, MO 63141-7103
(573) 587-0744
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 724-4722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40137
MO
106S00000X
Behavior Technician
RBT-18-57429
—
Other
Enumeration date
01/24/2019
Last updated
04/06/2020
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