Individual
ASHLEY HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3771 S A ST, RICHMOND, IN 47374-6053
(765) 598-4197
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-79222
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-79222
CERTIFICATE
—
Enumeration date
02/07/2020
Last updated
02/07/2020
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