Individual
DIANE ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED., CAS
Contact information
Practice address
104 QUAIL RUN DR, DEER PARK, NY 11729-5630
(631) 940-3258
Mailing address
104 QUAIL RUN DRIVE, DEER PARK, NY 11729
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
557366041
NY
171W00000X
Contractor
557366041
NY
252Y00000X
Early Intervention Provider Agency
557366041
NY
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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