Individual
ASHTIEN HAUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4522 EXECUTIVE DR STE 201, NAPLES, FL 34119-9014
(239) 330-3500
(239) 302-3568
Mailing address
175 MIDDLE ST UNIT 1201, LAKE MARY, FL 32746-3625
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34147
FL
Other
Enumeration date
01/16/2019
Last updated
03/01/2019
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