Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1083211650 |
---|---|
Provider Name | Ashley Ocker |
First Address | Spring Lake, NC 28390-3316 |
Second Address | Spring Lake, NC 28390-3316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2020 |
Last Update Date | 01/09/2021 |