Provider Demographics
NPI:1518208578
Name:KEMMERER, ASHLEY (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:KEMMERER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5466 VICARIS ST
Mailing Address - Street 2:APT 2
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-2824
Mailing Address - Country:US
Mailing Address - Phone:267-772-1206
Mailing Address - Fax:267-772-1206
Practice Address - Street 1:5466 VICARIS ST
Practice Address - Street 2:APT 2
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-2824
Practice Address - Country:US
Practice Address - Phone:267-772-1206
Practice Address - Fax:267-772-1206
Is Sole Proprietor?:No
Enumeration Date:2013-03-14
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst