Individual
ASHLEIGH SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
150 N CREST BLVD, MACON, GA 31210-1845
(478) 845-7516
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-218522
GA
Other
Enumeration date
06/10/2022
Last updated
02/05/2026
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