NPI 1861273906

Ashley Renee Cannon

Practitioner Assistant Behavior Analyst Port Orchard, WA

Practice location

Address: 1605 Woodridge Dr SE, Port Orchard, WA 98366-3818
Phone: (360) 443-2399

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 61458063 (WA)

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Registry record

NPI: 1861273906
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Oct 2023
Record last updated: 12 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.