Active NPI
Ainsley Mitchell
- Behavior Analyst
- McKinney, TX
National Provider Identifier
1053815902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-41953
- Practice address
- 4601 Medical Center Dr Ste F
McKinney, TX 75069-1771 - Phone
- (469) 731-0957
- NPI assigned
- Mar 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-15-09749 | TX | |
| Behavior Analyst | 103K00000X | 1-20-41953 | Primary |
Addresses
Primary practice location
4601 Medical Center Dr Ste F
McKinney, TX 75069-1771
Mailing address
6501 Meyer Way Apt 7172
McKinney, TX 75070-1502
Phone (214) 212-0539
Other practice location 1
564 Reale Dr
Irving, TX 75039-4164
Phone (214) 212-0539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-20-41953 | Other | TX | BCBA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-15-09749 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1053815902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 MEYER WAY APT 7172",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750701502",
"telephone_number": "214-212-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 MEDICAL CENTER DR STE F",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750691771",
"telephone_number": "469-731-0957"
}
],
"practiceLocations": [
{
"address_1": "564 Reale Dr",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750394164",
"country_code": "US",
"telephone_number": "214-212-0539",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "AINSLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-15-09749",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-20-41953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1-20-41953",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.