Ashley Dougherty, is a
Behavior Technician based in Pomona, California. Ashley Dougherty is licensed to practice in * (Not Available) (license number ) and her current practice location is
21 Rancho Camino Dr Ste 108, Pomona, California. She can be reached at her office (for appointments etc.) via phone at
(855) 223-7123.
NPI number for Ashley Dougherty is 1093431314 and her current mailing address is Po Box 33568, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093431314.
Provider's Profile
| Full Name | Ashley Dougherty |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 21 Rancho Camino Dr Ste 108, Pomona, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093431314
- Provider Enumeration Date: 10/18/2022
- Last Update Date: 11/22/2024
Medical Identifiers
Medical identifiers for Ashley Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093431314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley Dougherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ashley Dougherty,
Po Box 33568,
San Diego, CA 92163-3568
Ph: (855) 223-7123 | Ashley Dougherty,
21 Rancho Camino Dr Ste 108,
Pomona, CA 91766-7020
Ph: (855) 223-7123 |
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