Provider Demographics
NPI:1326538950
Name:HEBERT, ASHLEIGH DINAN (MED, BCBA, LABA)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:DINAN
Last Name:HEBERT
Suffix:
Gender:F
Credentials:MED, BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BARNA WOODS WAY # 7
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-2685
Mailing Address - Country:US
Mailing Address - Phone:774-291-0227
Mailing Address - Fax:
Practice Address - Street 1:10 BARNA WOODS WAY # 7
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2685
Practice Address - Country:US
Practice Address - Phone:774-291-0227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-18
Last Update Date:2023-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3006103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty