Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-44499 |
NPI | 1003310137 |
---|---|
Provider Name | Ashley Paige Beougher |
First Address | Worthington, OH 43085-3192 |
Second Address | Worthington, OH 43085-3192 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2018 |
Last Update Date | 18/11/2020 |