Ashley Veronica Benson

Individual provider Active NPI Behavior Analyst · Worth, IL

NPI 1104408947 · NPPES record last updated Oct 20, 2025

Key facts

NPI
1104408947
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
LBA0168 (MN)
Practice address
11301 S Harlem Ave
Worth, IL 60482-2001
Phone
(708) 586-2604
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LBA0168MNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Asd Life Inc. Current
since Sep 14, 2025
Accepting new patients

Locations

11301 S Harlem Ave
Worth, IL 60482
Phone (708) 305-3697

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA0168 MN Yes

Addresses

Primary practice location

11301 S Harlem Ave
Worth, IL 60482-2001

Mailing address

260 2ND Avenue CT SW
Rice, MN 56367-8827
Phone (708) 586-2604

Other names

  • Ashley May Former name

Other providers in Worth, IL

All providers in Worth, IL · Behavior Analyst in Illinois

Sources for this page

Verify at the official NPI Registry.