Provider Demographics
NPI:1235965062
Name:KREUZ, ASHLEY (RBT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:KREUZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:PORT MONMOUTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07758-1228
Mailing Address - Country:US
Mailing Address - Phone:848-757-2123
Mailing Address - Fax:732-769-2343
Practice Address - Street 1:1 WOODBROOK DR
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-1901
Practice Address - Country:US
Practice Address - Phone:732-583-8704
Practice Address - Fax:732-769-2343
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRBT-24-374495106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician