Evolve Autism Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

EVOLVE AUTISM SERVICES, LLC

Practice address

111 Warwick Dr
Long Beach, MS 39560-2638

Phone

(228) 260-6892

Fax

(228) 567-4894

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashlyn Fletcher, BCBA

Title

Bcba

Phone

(228) 260-6892

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashlyn Victoria Rager, BCBA

  • Behavior Analyst
  • Gulfport, MS
  • NPI 1063991693
  NPD

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1073293155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WARWICK DR",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395602638",
            "fax_number": "228-567-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WARWICK DR",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395602638",
            "telephone_number": "228-260-6892",
            "fax_number": "228-567-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE AUTISM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "ASHLYN",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "228-260-6892",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Long Beach, MS
• Providers in Long Beach, MS by specialty
• Behavior Analyst in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.