Individual
MRS. ASHLEY VICKERY KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
6867 SOUTHPOINT DR N, SUITE 106, JACKSONVILLE, FL 32216-8043
(904) 619-6071
(904) 212-0309
Mailing address
6867 SOUTHPOINT DR N, SUITE 106, JACKSONVILLE, FL 32216-8043
(904) 619-6071
(904) 212-0309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-1024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-12-1024
BCBA
FL
Enumeration date
03/02/2012
Last updated
01/13/2015
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