Provider Demographics
NPI:1194015362
Name:HORTON, ASHLEY JOANNE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:JOANNE
Last Name:HORTON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:JOANNE
Other - Last Name:HORTON-STERLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8535 E KAEL ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-3004
Mailing Address - Country:US
Mailing Address - Phone:702-376-1412
Mailing Address - Fax:866-833-2056
Practice Address - Street 1:4500 N 32ND ST STE 201A
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-3397
Practice Address - Country:US
Practice Address - Phone:480-799-5079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1-17-26202103K00000X
NVCABIT040311103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst