Blum, Ashlin

Blum, Ashlin is an individual health care provider with primary practice located at 1362 Sassafrass Cir , Mount Pleasant SC 29466. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Blum, Ashlin can be contacted via phone (520) 256-4951.

Contact Information

Primary practice address
1362 Sassafrass Cir Mount Pleasant SC 29466
Phone: (520) 256-4951
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-13-14996 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12419 South Carolina

Profile Details

NPI number 1750702460
LBN Legal business name Blum, Ashlin
Credentials LISW-CP,BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2013
Last updated Feb 20th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750702460 NPPES
South Carolina MEDICAID SW1926

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