Provider Demographics
NPI:1952100851
Name:DAVIDSON, ASHLEY MARIE (MA, LBA, BCBA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARIE
Last Name:DAVIDSON
Suffix:
Gender:
Credentials:MA, LBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 OSCEOLA RD
Mailing Address - Street 2:
Mailing Address - City:TIBBIE
Mailing Address - State:AL
Mailing Address - Zip Code:36583-5230
Mailing Address - Country:US
Mailing Address - Phone:251-242-9958
Mailing Address - Fax:
Practice Address - Street 1:5550 OLD SHELL RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3039
Practice Address - Country:US
Practice Address - Phone:251-287-2442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2025-001103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst