Provider Demographics
NPI:1639057185
Name:TAYLOR, ASHLEY CAPRICE
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CAPRICE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6237 W NEBRASKA AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53220-1900
Mailing Address - Country:US
Mailing Address - Phone:414-232-7067
Mailing Address - Fax:
Practice Address - Street 1:6237 W NEBRASKA AVE APT 3
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53220-1900
Practice Address - Country:US
Practice Address - Phone:414-232-7067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-23
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician