Provider Demographics
NPI:1154937084
Name:PILATO, ASHLEY RENEE (MS, BCBA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENEE
Last Name:PILATO
Suffix:
Gender:
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 BURGUNDY DR
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30223-1196
Mailing Address - Country:US
Mailing Address - Phone:678-554-6547
Mailing Address - Fax:
Practice Address - Street 1:277 GA-74
Practice Address - Street 2:SUITE 107-109
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269
Practice Address - Country:US
Practice Address - Phone:678-833-0058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-23-69391103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst