Most Relevant Information
Provider Data
| NPI Number: | 1003500547 |
| Provider Name: | ASHLYNN CHANEY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | L-354 |
Most Important Dates
| Enumeration Date: | 06/07/2023 |
| Last Updated: | 06/07/2023 |
Provider Practice Location
112 N 3RD ST
LEESVILLE
LA
714464014
Practice Location Phone/Fax
| Phone: | 3372393334 |
| Fax: |
Provider Mailing Location
112 N 3RD ST
LEESVILLE
LA
714464014
Provider Mailing Phone/Fax
| Phone: | 3372393334 |
| Fax: |