Individual
ASHLEY LYNN WATERBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 FORBES DR, HOPKINSVILLE, KY 42240-7200
(270) 215-5945
(615) 815-1946
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 361-4000
(615) 815-1946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
BACB470615
TN
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/22/2021
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