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Individual

ASHLEY HEARNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
3100 PREMIER DR STE 234, IRVING, TX 75063-2693
(972) 756-1222
Mailing address
3100 PREMIER DR STE 234, IRVING, TX 75063-2693
(972) 756-1222

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-18-53509
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-18-53509
BACB
TX
Enumeration date
02/10/2019
Last updated
02/10/2019
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