Individual
MS. ASHLEY M MCCUISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LPA
Contact information
Practice address
500 FAIRWAY DR, SUITE 102, DEERFIELD BEACH, FL 33441-1814
(954) 603-7885
(954) 342-0273
Mailing address
500 FAIRWAY DR, SUITE 102, DEERFIELD BEACH, FL 33441-1814
(954) 603-7885
(954) 342-0273
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7387
NC
103T00000X
Psychologist
4112
NC
Other
Enumeration date
10/06/2010
Last updated
10/08/2013
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