Individual provider Active NPI

Ashleigh Lynn Leuck, MA, LPA, BCBA, HSP-A

  • Behavior Analyst
  • Wilmington, NC
National Provider Identifier
1013497379
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-31992
Practice address
7444 Chipley Dr
Wilmington, NC 28411-6214
Phone
(910) 390-6621
Fax
(910) 390-6627
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 5384 NC
Behavior Analyst 103K00000X 1-18-31992 Primary

Addresses

Primary practice location

7444 Chipley Dr
Wilmington, NC 28411-6214

Mailing address

7444 Chipley Dr
Wilmington, NC 28411-6214
Phone (910) 390-6621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5384NCMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Autism Solutions, PLLC Behavior Analyst CurrentSince Jun 6, 2021 Accepting new patients
Center for Pediatric Behavioral Health Behavior Analyst Past Accepting new patients

Locations

5101 Dunlea Ct
Ste 201C
Wilmington, NC 28405
Phone (910) 390-6626

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1013497379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 CHIPLEY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116214",
            "telephone_number": "910-390-6621",
            "fax_number": "910-390-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7444 CHIPLEY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116214",
            "telephone_number": "910-390-6621",
            "fax_number": "910-390-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUCK",
        "first_name": "ASHLEIGH",
        "middle_name": "LYNN",
        "credential": "MA, LPA, BCBA, HSP-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "5384",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-31992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.