| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ASHLEE LAFOLLETTE | 1912629767 | 2022-09-16 |
Ashlee Lafollette is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912629767. Registration indicates Ashlee Lafollette is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Ashlee Lafollette |
| Other Provider Name | Ashlee Mandrell |
| Practice Office Address | 296 S FERDON BLVD CRESTVIEW, FL US |
| Practice Office Telephone | 8503331279 |
| Mailing Address | 296 S FERDON BLVD CRESTVIEW, FL 325363702 US |
| Business Telephone | 8503331279 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |
FL |