Provider Demographics
NPI:1558880369
Name:WATSON, ASHLEIGH PATRICIA (MA, BCBA)
Entity Type:Individual
Prefix:MS
First Name:ASHLEIGH
Middle Name:PATRICIA
Last Name:WATSON
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 E CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:HADDON TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08107-1010
Mailing Address - Country:US
Mailing Address - Phone:609-230-8266
Mailing Address - Fax:
Practice Address - Street 1:112 E CEDAR AVE
Practice Address - Street 2:
Practice Address - City:HADDON TWP
Practice Address - State:NJ
Practice Address - Zip Code:08107-1010
Practice Address - Country:US
Practice Address - Phone:609-230-8266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-16-24494103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst