Provider Demographics
NPI:1922984475
Name:ST. JOHN, ASHLEY (PHD, BCBA)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:ST. JOHN
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 335
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-0335
Mailing Address - Country:US
Mailing Address - Phone:610-613-8765
Mailing Address - Fax:
Practice Address - Street 1:233 WOODSIDE RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-7431
Practice Address - Country:US
Practice Address - Phone:610-613-8765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst