Provider Demographics
NPI:1710458120
Name:ASHLEY, VALENCIA (BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:VALENCIA
Middle Name:
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2646 WINSLOW DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-3811
Mailing Address - Country:US
Mailing Address - Phone:214-683-4406
Mailing Address - Fax:972-664-4460
Practice Address - Street 1:2102 ROOSEVELT DR STE E
Practice Address - Street 2:
Practice Address - City:DWG
Practice Address - State:TX
Practice Address - Zip Code:76013-5932
Practice Address - Country:US
Practice Address - Phone:972-666-4600
Practice Address - Fax:972-664-4460
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-10
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7932103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty