Provider Demographics
NPI:1205271558
Name:WOODFORD, ASHLEY M
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:WOODFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4332 TWIN PEAKS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-0111
Mailing Address - Country:US
Mailing Address - Phone:702-813-5413
Mailing Address - Fax:
Practice Address - Street 1:5135 CAMINO AL NORTE STE 230
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-2391
Practice Address - Country:US
Practice Address - Phone:702-853-6727
Practice Address - Fax:702-853-7001
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst