Individual
ASHLEY BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
620 H ST, BEDFORD, IN 47421-2330
(812) 322-0313
Mailing address
PO BOX 668, BLOOMINGTON, IN 47402-0668
(812) 322-0313
(812) 610-1814
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-334451
IN
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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