Provider Demographics
NPI:1013620426
Name:PERKINS, ASHLEY LAINE (RBT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LAINE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:BRADFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 N FULTON AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-1034
Mailing Address - Country:US
Mailing Address - Phone:812-202-6001
Mailing Address - Fax:
Practice Address - Street 1:10 N FULTON AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1034
Practice Address - Country:US
Practice Address - Phone:812-202-6001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-30
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INRBT-22-224183106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician