Provider Demographics
NPI:1487199782
Name:ASHLEY, SONYA (DBH, BCBA)
Entity Type:Individual
Prefix:DR
First Name:SONYA
Middle Name:
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:DBH, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2904 E STAN SCHLUETER LOOP STE 70
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-4813
Mailing Address - Country:US
Mailing Address - Phone:254-294-4488
Mailing Address - Fax:512-367-5738
Practice Address - Street 1:207 W AVENUE D STE A
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-5263
Practice Address - Country:US
Practice Address - Phone:254-294-4488
Practice Address - Fax:512-367-5738
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-23
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
TX2554103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty