Cantrell, Ashley Lynne-Theresa

Cantrell, Ashley Lynne-Theresa is an individual health care provider with primary practice located at 666 E Main St Ste B , Centreville MI 49032-9803. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Technician/Technologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Cantrell, Ashley Lynne-Theresa can be contacted via phone (269) 241-2700.

Contact Information

Primary practice address
666 E Main St Ste B Centreville MI 49032-9803
Phone: (269) 241-2700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X BACB88877 Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-48318 Michigan

Profile Details

NPI number 1447874573
LBN Legal business name Cantrell, Ashley Lynne-Theresa
Credentials MA, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2020
Last updated Sep 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447874573 NPPES
Michigan MEDICAID 1447874573

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