Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-45972 | IL |
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1083277289 |
---|---|
Provider Name | Ashley Marie Eppenstein |
First Address | Frankfort, IL 60423-1592 |
Second Address | Bee Cave, TX 78738-6748 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2019 |
Last Update Date | 07/12/2020 |