Provider Demographics
NPI:1700386729
Name:GINEMAN, ASHLEY LYNN (MS, BCBA, COBA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN
Last Name:GINEMAN
Suffix:
Gender:F
Credentials:MS, BCBA, COBA
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:GINEMAN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, BCBA, COBA
Mailing Address - Street 1:3070 RIVERSIDE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2547
Mailing Address - Country:US
Mailing Address - Phone:614-615-5145
Mailing Address - Fax:614-591-7620
Practice Address - Street 1:3070 RIVERSIDE DR STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2547
Practice Address - Country:US
Practice Address - Phone:614-615-5145
Practice Address - Fax:614-591-7620
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOBA.00399103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst