Individual
ASHLEY KINTIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18245 PAULSON DR STE 104, PORT CHARLOTTE, FL 33954-1019
(813) 528-7048
Mailing address
3725 FAIRCHILD AVE, NORTH PORT, FL 34287-4303
(941) 875-5191
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74751
FL
106E00000X
Assistant Behavior Analyst
0-23-14437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112151000
—
FL
Enumeration date
10/08/2021
Last updated
08/05/2024
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