Provider Demographics
NPI:1205202629
Name:PADOVESE, ASHLEY RENEE (BCABA)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:RENEE
Last Name:PADOVESE
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8670 W CHEYENNE AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7457
Mailing Address - Country:US
Mailing Address - Phone:725-202-1497
Mailing Address - Fax:725-202-1500
Practice Address - Street 1:8670 W CHEYENNE AVE STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7457
Practice Address - Country:US
Practice Address - Phone:725-202-1497
Practice Address - Fax:725-202-1500
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRBT-15-03683106S00000X
NV0-19-9863103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician