Individual
ASHLEY KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9005 OVERLOOK BLVD, BRENTWOOD, TN 37027-5269
(845) 323-2610
(646) 859-4440
Mailing address
751 SPRING MEADOWS DR, RINGGOLD, GA 30736-8989
(773) 558-5056
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27491
—
Other
Enumeration date
04/09/2017
Last updated
11/05/2019
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