Individual
ASHLEY ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 N GOLIAD ST # 303, ROCKWALL, TX 75087-2230
(469) 458-9021
Mailing address
911 N GOLIAD ST # 303, ROCKWALL, TX 75087-2230
(469) 458-9021
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-189441
TX
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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