Provider Demographics
NPI:1659792539
Name:MASSEY, ASHLEY M (BCBA)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:M
Last Name:MASSEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:M
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:4542 SPELLMAN RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-6022
Mailing Address - Country:US
Mailing Address - Phone:303-819-1222
Mailing Address - Fax:
Practice Address - Street 1:1001 PINELOCH DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-2741
Practice Address - Country:US
Practice Address - Phone:281-461-6888
Practice Address - Fax:866-237-5824
Is Sole Proprietor?:No
Enumeration Date:2013-12-19
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-15-20130103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst