Provider Demographics
NPI:1598167751
Name:ROSSER, ASHLEY (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:ROSSER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:ROSSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:45-143 WILLIAM HENRY RD APT C
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3102
Mailing Address - Country:US
Mailing Address - Phone:808-728-2175
Mailing Address - Fax:
Practice Address - Street 1:45-143 WILLIAM HENRY RD APT C
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3102
Practice Address - Country:US
Practice Address - Phone:808-728-2175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-19
Last Update Date:2024-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst