Individual
ASHLEY WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0298
Mailing address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12477181
AL
106S00000X
Behavior Technician
RBT-20-115558
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-115558
BACB CERTIFICATION FOR RBT
AL
Enumeration date
04/06/2020
Last updated
12/02/2024
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