Provider Demographics
NPI:1659524585
Name:PARE, ASHLEY NIKOLE (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NIKOLE
Last Name:PARE
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 N DONAHUE DR APT 14-35
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-2989
Mailing Address - Country:US
Mailing Address - Phone:757-831-4618
Mailing Address - Fax:
Practice Address - Street 1:1000 N DONAHUE DR APT 14-35
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36832-2989
Practice Address - Country:US
Practice Address - Phone:757-831-4618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst