Individual
ASHLEY BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3817 NW COUNTY ROAD 0010, CORSICANA, TX 75110-0342
(903) 467-6145
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66652
TX
106E00000X
Assistant Behavior Analyst
0-23-14385
TX
106S00000X
Behavior Technician
—
TX
Other
Enumeration date
03/06/2023
Last updated
09/11/2023
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