Provider Demographics
NPI:1619689965
Name:CABRAL, ASHLEY ANN (BCBA, LABA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:CABRAL
Suffix:
Gender:F
Credentials:BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 VALE ST APT 17
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02724-3213
Mailing Address - Country:US
Mailing Address - Phone:774-526-2570
Mailing Address - Fax:
Practice Address - Street 1:5 DOVER ST STE 105
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6200
Practice Address - Country:US
Practice Address - Phone:508-999-1620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3684-MH-B1103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst