Individual
MRS. ASHLEY JEAN SIEGFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 COUNTY ROAD 260 W, MICO, TX 78056-2218
(210) 882-6062
Mailing address
208 COUNTY ROAD 260 W, MICO, TX 78056-2218
(210) 882-0738
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6124
TX
106S00000X
Behavior Technician
BACB732804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB732804
BACB
TX
Enumeration date
11/29/2021
Last updated
10/22/2024
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