Peterson, Ashley

Peterson, Ashley is an individual health care provider with primary practice located at 3418 Tyler Ave , Ogden UT 84403-1355. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Peterson, Ashley can be contacted via phone (801) 710-5128.

Contact Information

Primary practice address
3418 Tyler Ave Ogden UT 84403-1355
Phone: (801) 710-5128
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1285225896
LBN Legal business name Peterson, Ashley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2021
Last updated Jan 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285225896 NPPES
Utah Other RA59424306 BLUE CROSS BLUE SHIELD

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