Provider Demographics
NPI:1932914025
Name:HUDSON, ASHLEY NICOLE (EMT-B, RBT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICOLE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:EMT-B, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35938 PURNELL CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:WILLARDS
Mailing Address - State:MD
Mailing Address - Zip Code:21874-1220
Mailing Address - Country:US
Mailing Address - Phone:302-381-4363
Mailing Address - Fax:
Practice Address - Street 1:34743 STARBOARD CT
Practice Address - Street 2:
Practice Address - City:DAGSBORO
Practice Address - State:DE
Practice Address - Zip Code:19939-3338
Practice Address - Country:US
Practice Address - Phone:410-229-6499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician