Active NPI
Ashley Sage, MS BCBA
- Behavior Analyst
- Crestwood, IL
National Provider Identifier
1083136477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-26047
- Practice address
- 13430 West Circle Drive
Unit 209
Crestwood, IL 60418 - Phone
- (708) 642-2280
- NPI assigned
- Jul 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-17-26047 | IL | Primary |
Addresses
Primary practice location
13430 West Circle Drive
Unit 209
Crestwood, IL 60418
Mailing address
13430 W Circle Dr Apt 209
Crestwood, IL 60418-4429
Phone (708) 642-2280
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1083136477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13430 W CIRCLE DR APT 209",
"city": "CRESTWOOD",
"state": "IL",
"postal_code": "604184429",
"telephone_number": "708-642-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13430 WEST CIRCLE DRIVE",
"address_2": "UNIT 209",
"city": "CRESTWOOD",
"state": "IL",
"postal_code": "60418",
"telephone_number": "708-642-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGE",
"first_name": "ASHLEY",
"credential": "MS BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-17-26047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.