Individual
NICOLE MARIE ASHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 CHESTNUT ST, VAN BUREN, AR 72956-5321
(479) 471-9600
Mailing address
2010 CHESTNUT ST, VAN BUREN, AR 72956-5321
(479) 471-9600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-191197
AR
Other
Enumeration date
08/04/2020
Last updated
04/04/2022
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