Provider Demographics
NPI:1982190849
Name:PALMER, ASHLEY M (BCBA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:PALMER
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 SOUTHERLY PARC LN APT 210
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-8099
Mailing Address - Country:US
Mailing Address - Phone:407-416-4538
Mailing Address - Fax:
Practice Address - Street 1:882 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4667
Practice Address - Country:US
Practice Address - Phone:407-416-4538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-03
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician