Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-42564 | CA |
N | 106E00000X | Assistant Behavior Analyst | 0-20-10911 | CA |
N | 106S00000X | Behavior Technician |
NPI | 1164924536 |
---|---|
Provider Name | Ashley Ragsdale |
First Address | Irvine, CA 92606-2417 |
Second Address | El Cajon, CA 92020-5128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2018 |
Last Update Date | 10/12/2020 |