Provider Demographics
NPI:1073279709
Name:MCADAM, ASHLEY TYRELL (RBT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:TYRELL
Last Name:MCADAM
Suffix:
Gender:F
Credentials:RBT
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Mailing Address - Street 1:708 BROADWATER AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-2710
Mailing Address - Country:US
Mailing Address - Phone:406-259-1680
Mailing Address - Fax:406-259-1777
Practice Address - Street 1:554 PRONGHORN TRL STE A
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6082
Practice Address - Country:US
Practice Address - Phone:406-624-6669
Practice Address - Fax:406-259-1777
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician