Ashley Brinner, MSW
Individual provider Active NPI Behavior Analyst · Lincoln, IL
NPI 1083981278 · NPPES record last updated Nov 16, 2011
Key facts
- NPI
- 1083981278
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 418 S Kickapoo St
Lincoln, IL 62656-2816 - Phone
- (217) 828-0126
- NPI assigned
- Nov 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
418 S Kickapoo St
Lincoln, IL 62656-2816
Mailing address
418 S Kickapoo St
Lincoln, IL 62656-2816
Phone (217) 828-0126
Other providers in Lincoln, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.