Provider Demographics
NPI:1083309892
Name:COBAS, ASHLEY N (RBT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:COBAS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13872 SW 285TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-5706
Mailing Address - Country:US
Mailing Address - Phone:786-296-6242
Mailing Address - Fax:
Practice Address - Street 1:5050 NW 74TH AVE STE 107
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-5509
Practice Address - Country:US
Practice Address - Phone:305-640-8280
Practice Address - Fax:305-640-8284
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22-205031106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician