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Individual

ASHLYNN M QUIRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3180 IMJIN RD STE 149, MARINA, CA 93933-5111
(831) 786-9699
Mailing address
3180 IMJIN RD STE 149, MARINA, CA 93933-5111
(831) 786-0600

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-83125
CA
106E00000X
Assistant Behavior Analyst
0-24-15591
CA
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0-24-15591
ANTHEM
CA
01
RBT-20-129382
TRICARE
TX
Enumeration date
03/12/2021
Last updated
08/11/2025
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