Individual provider Active NPI

Ashley Brightwell, BCBA

  • Behavior Analyst
  • Cary, NC
National Provider Identifier
1053821249
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-27568 Issued in NC
Practice address
210 Tals Rock Way Ste 3
Cary, NC 27519-1919
Phone
(919) 745-8892
NPI assigned
Oct 3, 2017
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-27568 NC Primary

Addresses

Primary practice location

210 Tals Rock Way Ste 3
Cary, NC 27519-1919

Mailing address

210 Tals Rock Way Ste 3
Cary, NC 27519-1919
Phone (919) 745-8892

Other practice location 1

1230 SE Maynard Rd Ste 103
Cary, NC 27511-6945
Phone (919) 234-1546

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hands Center for Autism CurrentSince Jul 4, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1053821249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 TALS ROCK WAY STE 3",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275191919",
            "telephone_number": "919-745-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TALS ROCK WAY STE 3",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275191919",
            "telephone_number": "919-745-8892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 SE Maynard Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275116945",
            "country_code": "US",
            "telephone_number": "919-234-1546",
            "fax_number": "919-234-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGHTWELL",
        "first_name": "ASHLEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-17-27568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.