Individual
ASHLEY JO DERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-24-375583
Contact information
Practice address
605 N WESTERN AVE, MARION, IN 46952-3403
(765) 382-8222
Mailing address
307 S FACTORY ST, FAIRMOUNT, IN 46928-1831
(765) 661-8798
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-24-375583
—
106S00000X
Behavior Technician
Primary
RBT-24-375583
—
Other
Enumeration date
01/16/2025
Last updated
02/18/2026
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