Provider Demographics
NPI:1639900582
Name:AMMERMAN, ASHLYNN (MA, BCBA)
Entity type:Individual
Prefix:
First Name:ASHLYNN
Middle Name:
Last Name:AMMERMAN
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 W 103RD AVE APT 1412
Mailing Address - Street 2:
Mailing Address - City:FEDERAL HEIGHTS
Mailing Address - State:CO
Mailing Address - Zip Code:80260-8601
Mailing Address - Country:US
Mailing Address - Phone:503-894-4813
Mailing Address - Fax:
Practice Address - Street 1:2800 W 103RD AVE APT 1412
Practice Address - Street 2:
Practice Address - City:FEDERAL HEIGHTS
Practice Address - State:CO
Practice Address - Zip Code:80260-8601
Practice Address - Country:US
Practice Address - Phone:503-894-4813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst