Individual
ASHLIE UTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
3030 LAKE AVE STE 20, FORT WAYNE, IN 46805-5428
(260) 420-9332
Mailing address
6529 MAPLEDOWNS DR, FORT WAYNE, IN 46835-3936
(845) 389-2220
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-20-11631
IN
Other
Enumeration date
12/18/2020
Last updated
05/05/2026
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