Provider Demographics
NPI:1912862012
Name:CHAMBERS, ASHLEY (CBT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 S CHENEY SPANGLE RD
Mailing Address - Street 2:APT 714
Mailing Address - City:CHENEY
Mailing Address - State:WA
Mailing Address - Zip Code:99004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:240 S CHENEY SPANGLE RD
Practice Address - Street 2:APT 714
Practice Address - City:CHENEY
Practice Address - State:WA
Practice Address - Zip Code:99004
Practice Address - Country:US
Practice Address - Phone:770-652-6678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-19
Last Update Date:2025-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACB70072638106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician