Boomer, Ashley Rena

Boomer, Ashley Rena is an individual health care provider with primary practice located at 1411 W 190Th St , Gardena CA 90248-4324. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Boomer, Ashley Rena can be contacted via phone (310) 719-3908.

Contact Information

Primary practice address
1411 W 190Th St Gardena CA 90248-4324
Phone: (310) 719-3908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1386374536
LBN Legal business name Boomer, Ashley Rena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2022
Last updated Jun 12th, 2022 - about 2 years 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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