Provider Demographics
NPI:1699445387
Name:YOWAYS, ASHLEY KATHLEEN (BCBA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KATHLEEN
Last Name:YOWAYS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11523 BELMONT PL
Mailing Address - Street 2:
Mailing Address - City:CEDAR LAKE
Mailing Address - State:IN
Mailing Address - Zip Code:46303-8941
Mailing Address - Country:US
Mailing Address - Phone:219-689-5393
Mailing Address - Fax:
Practice Address - Street 1:5521 W LINCOLN HWY STE 101
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-1118
Practice Address - Country:US
Practice Address - Phone:219-359-3272
Practice Address - Fax:219-359-3089
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INBACB458306103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst