Provider Demographics
NPI:1194114413
Name:O'DELL, ASHLEIGH TIGHE (BA, MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:TIGHE
Last Name:O'DELL
Suffix:
Gender:F
Credentials:BA, MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 W NYACK RD
Mailing Address - Street 2:APT. 95
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2942
Mailing Address - Country:US
Mailing Address - Phone:585-245-2613
Mailing Address - Fax:
Practice Address - Street 1:135 W NYACK RD
Practice Address - Street 2:APT. 95
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2942
Practice Address - Country:US
Practice Address - Phone:585-245-2613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst