Most Relevant Information
Provider Data
| NPI Number: | 1003069634 |
| Provider Name: | STACEY ASHTON B.C.B.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-07-3453 |
Most Important Dates
| Enumeration Date: | 10/28/2008 |
| Last Updated: | 07/05/2012 |
Provider Practice Location
121 1/2 FOUNTAIN AVE
PACIFIC GROVE
CA
939502714
Practice Location Phone/Fax
| Phone: | 8312243811 |
| Fax: |
Provider Mailing Location
121 1/2 FOUNTAIN AVE
PACIFIC GROVE
CA
939502714
Provider Mailing Phone/Fax
| Phone: | 8312243811 |
| Fax: |