Individual
ASHLEY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2631 STATE ROUTE 34, WINFIELD, WV 25213
(681) 235-3114
(866) 332-2962
Mailing address
PO BOX 4100, BARBOURSVILLE, WV 25504-4100
(304) 955-6200
(304) 399-2526
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-50876
WV
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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