Organization
JUNIPER HEALTH & WELLNESS LLC
Active
Other names
Clearwater ABA, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONYA Y ASHLEY DBH, BCBA, LBA (BEHAVIOR ANALYST)
(254) 294-4488
Entity
Organization
Contact information
Practice address
207 W AVENUE D STE A, KILLEEN, TX 76541-5263
(254) 294-4488
(512) 367-5738
Mailing address
2904 E STAN SCHLUETER LOOP # 70, KILLEEN, TX 76542-4813
(254) 294-4488
(512) 367-5738
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24598
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2554
TEXAS STATE LICENSURE
TX
Enumeration date
08/15/2017
Last updated
08/06/2021
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