Provider Demographics
NPI:1780938191
Name:HOOKS, ASHLEY LEIGH (BCBA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LEIGH
Last Name:HOOKS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2377 MARKET DR
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-4326
Mailing Address - Country:US
Mailing Address - Phone:904-579-4779
Mailing Address - Fax:888-501-3580
Practice Address - Street 1:2377 MARKET DR
Practice Address - Street 2:
Practice Address - City:FLEMING ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32003-4326
Practice Address - Country:US
Practice Address - Phone:904-579-4779
Practice Address - Fax:888-501-3580
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-12-11906103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst