Provider Demographics
NPI:1306612320
Name:MOSBY, ASHLEY NICHELLE (RBT)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:NICHELLE
Last Name:MOSBY
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:NICHELLE
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:10408 N LISTER CT
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64156-6338
Mailing Address - Country:US
Mailing Address - Phone:816-536-6043
Mailing Address - Fax:816-301-6576
Practice Address - Street 1:10408 N LISTER CT
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64156-6338
Practice Address - Country:US
Practice Address - Phone:816-536-6043
Practice Address - Fax:806-301-6576
Is Sole Proprietor?:No
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MORBT-22-231585106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician