Individual
ASHLEY NICOLE ALWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
902 SPAULDING ST, SAN ANGELO, TX 76903-4971
(325) 658-7750
(325) 658-8381
Mailing address
1501 W BEAUREGARD AVE, SAN ANGELO, TX 76901-4004
(325) 658-7750
(325) 658-8381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2875
TEXAS DEPARTMENT OF LICENSING & REGULATION
TX
Enumeration date
08/05/2019
Last updated
08/05/2019
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