Provider Demographics
NPI:1710422811
Name:ENCINIAS, ASHLIE JEANNE (RBT)
Entity Type:Individual
Prefix:
First Name:ASHLIE
Middle Name:JEANNE
Last Name:ENCINIAS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:ASHLIE
Other - Middle Name:JEANNE
Other - Last Name:SENKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:3427 GONI RD STE 104
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-7972
Mailing Address - Country:US
Mailing Address - Phone:775-687-0555
Mailing Address - Fax:
Practice Address - Street 1:3427 GONI RD STE 104
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-7972
Practice Address - Country:US
Practice Address - Phone:775-687-0555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRBT 15-10691106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician