Provider Demographics
NPI:1629408612
Name:JONES, ASHLEY STROMBERG
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:STROMBERG
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:NICOLE
Other - Last Name:STROMBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2003 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4061
Mailing Address - Country:US
Mailing Address - Phone:407-376-1312
Mailing Address - Fax:410-529-1158
Practice Address - Street 1:2003 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4061
Practice Address - Country:US
Practice Address - Phone:407-376-1312
Practice Address - Fax:410-529-1158
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2014-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1-13-14972103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst