Provider Demographics
NPI:1851029946
Name:ALTIMARI, ASHLEY ALEXANDRA (MS, LBS)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ALEXANDRA
Last Name:ALTIMARI
Suffix:
Gender:F
Credentials:MS, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 PENROSE LN
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2733
Mailing Address - Country:US
Mailing Address - Phone:215-873-1320
Mailing Address - Fax:
Practice Address - Street 1:542 PENROSE LN
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2733
Practice Address - Country:US
Practice Address - Phone:215-873-1320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH005947103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst