Provider Demographics
NPI:1922612852
Name:NEAL, ASHLIE BETH (BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:ASHLIE
Middle Name:BETH
Last Name:NEAL
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:MS
Other - First Name:ASHLIE
Other - Middle Name:BETH
Other - Last Name:GLENN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA, LBA
Mailing Address - Street 1:1504 BARLEY WAY
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-6347
Mailing Address - Country:US
Mailing Address - Phone:270-535-4444
Mailing Address - Fax:
Practice Address - Street 1:1504 BARLEY WAY
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-6347
Practice Address - Country:US
Practice Address - Phone:270-535-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY268639103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst