Provider Demographics
NPI:1366052235
Name:MCBRIDE, ASHLEE N (MED, BCBA)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:N
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 KENDRA DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-4608
Mailing Address - Country:US
Mailing Address - Phone:512-788-4965
Mailing Address - Fax:
Practice Address - Street 1:120 KENDRA DR
Practice Address - Street 2:
Practice Address - City:LIBERTY HILL
Practice Address - State:TX
Practice Address - Zip Code:78642-4608
Practice Address - Country:US
Practice Address - Phone:512-788-4965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst