Individual provider · NPI-1

Radasha Ashley

Technician/Technologist · Lansing, MI

NPI number1134868011
StatusActive
Last updated in NPPESJul 26, 2022

Details

NPI
1134868011
Entity type
Individual (NPI-1)
Name
Radasha Ashley
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2022
Certification date
Jul 26, 2022
Last updated
Jul 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156F00000X Technician/Technologist––Yes
106S00000X Behavior Technician––

Practice location

405 W Greenlawn Ave Ste 200
Lansing, MI 48910-2889

Phone 517-657-2638

Mailing address

405 W Greenlawn Ave Ste 200
Lansing, MI 48910-2889

Phone 517-657-2638

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