Provider Demographics
NPI:1275986994
Name:PRESTON, ASHLEY (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:PRESTON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10325 SE 144TH PL
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-3792
Mailing Address - Country:US
Mailing Address - Phone:352-430-7861
Mailing Address - Fax:
Practice Address - Street 1:3850 W ANTHONY RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34475-8738
Practice Address - Country:US
Practice Address - Phone:321-241-1170
Practice Address - Fax:321-241-1171
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst