NPI 1336804590 · live from the CMS NPI Registry
Ashley Breckenridge
Behavior Analyst in Woodruff, SC. National Provider Identifier 1336804590, active.
NPI record
| NPI | 1336804590 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 751 E Georgia Rd, Woodruff, SC 29388 |
| Practice phone | 864-580-1296 |
| Mailing address | 112 Ivy Ln, Cowpens, SC 29330 |
| Enumerated | November 3, 2021 |
| Last updated | December 13, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.