Provider Demographics
NPI:1528546637
Name:ASH, AMY S (PD, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:S
Last Name:ASH
Suffix:
Gender:F
Credentials:PD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-1626
Mailing Address - Country:US
Mailing Address - Phone:908-723-5235
Mailing Address - Fax:
Practice Address - Street 1:831 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-1626
Practice Address - Country:US
Practice Address - Phone:908-723-5235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst