Provider Demographics
NPI:1013205988
Name:ADAMS, ASHLEY CAROLANNE (BA, BCABA)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:CAROLANNE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:BA, BCABA
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:CAROLANNE
Other - Last Name:MCAFEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA, BCABA
Mailing Address - Street 1:6540 LUSK BLVD STE C256
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-5795
Mailing Address - Country:US
Mailing Address - Phone:858-657-9117
Mailing Address - Fax:858-657-0251
Practice Address - Street 1:6540 LUSK BLVD STE C256
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-5795
Practice Address - Country:US
Practice Address - Phone:858-657-9117
Practice Address - Fax:858-657-0251
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0-11-4100103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst