Ashley Tyler Ballou-Mauke

NPI #1255980538 in Holyoke, Massachusetts

Provider Information

NPI Number: 1255980538
Entity Type: Individual
Name: Ashley Tyler Ballou-Mauke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 9, 2019
Last Updated: Sep 9, 2019

Practice Location

Address: 262 WESTFIELD RD
City: Holyoke
State: Massachusetts
ZIP Code: 01040-1662
Phone: (818) 241-6780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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