Individual
ASHLEIGH ELLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1016 BOLL WEEVIL CIR STE 2, ENTERPRISE, AL 36330-1317
(334) 661-7635
(334) 694-0574
Mailing address
1016 BOLL WEEVIL CIR STE 2, ENTERPRISE, AL 36330-1317
(334) 661-7635
(334) 694-0574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-206698
BACB
—
Enumeration date
03/14/2022
Last updated
03/14/2022
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