Provider Demographics
NPI:1790161214
Name:MUSIAL, ASHLEY D (BCBA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:D
Last Name:MUSIAL
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3295 N ARLINGTON HEIGHTS RD STE 107
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1588
Mailing Address - Country:US
Mailing Address - Phone:224-206-5001
Mailing Address - Fax:224-400-6153
Practice Address - Street 1:3295 N ARLINGTON HEIGHTS RD STE 107
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1588
Practice Address - Country:US
Practice Address - Phone:224-206-5001
Practice Address - Fax:224-206-5001
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst