Thomas, Raven Ashley

Thomas, Raven Ashley is an individual health care provider with primary practice located at 1619 Collins Rd Nw Ste 500 , Kennesaw GA 30152. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Thomas, Raven Ashley can be contacted via phone (502) 338-4266.

Contact Information

Primary practice address
1619 Collins Rd Nw Ste 500 Kennesaw GA 30152
Phone: (502) 338-4266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Georgia

Profile Details

NPI number 1083199152
LBN Legal business name Thomas, Raven Ashley
Credentials MS, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2018
Last updated Oct 31st, 2019 - about 7 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 1083199152 NPPES
Other 1-18-32530 BCBA CERTIFICATE

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