Provider Demographics
NPI:1437405453
Name:CURCIO, ASHLEY DIANNE (MED, BCBA)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:DIANNE
Last Name:CURCIO
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 NW 85TH AVE APT 1204
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5357
Mailing Address - Country:US
Mailing Address - Phone:786-712-6494
Mailing Address - Fax:
Practice Address - Street 1:5300 NW 85TH AVE APT 1204
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-5357
Practice Address - Country:US
Practice Address - Phone:786-712-6494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-12-4984103K00000X
FL1-15-19847103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst