Provider Demographics
NPI:1700128238
Name:HAMNER, ASHTON HARRIS (MS,BCBA)
Entity Type:Individual
Prefix:
First Name:ASHTON
Middle Name:HARRIS
Last Name:HAMNER
Suffix:
Gender:F
Credentials:MS,BCBA
Other - Prefix:
Other - First Name:ASHTON
Other - Middle Name:NICOLE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:104 8TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-2202
Mailing Address - Country:US
Mailing Address - Phone:423-463-6779
Mailing Address - Fax:931-915-1203
Practice Address - Street 1:104 8TH AVE SE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-2202
Practice Address - Country:US
Practice Address - Phone:423-463-6779
Practice Address - Fax:931-915-1203
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-22
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1-13-13056103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst