Ashley Hendricks

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0134000431 Issued in VA

Practice address

605 Smartts LN NE
Leesburg, VA 20176-6608

Phone

(703) 309-5295

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Impact ABA

  • Behavior Analyst
  • Leesburg, VA
  • NPI 1336816065
  NPD

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1104490770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SMARTTS LN NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SMARTTS LN NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766608",
            "telephone_number": "703-309-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0134000431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Anne Hedblom, PA-C
• Jessica Marie Heidebrink, PT, DPT
• Amanda Marie Lim Heletsi, FNP-BC
• Robert John Helpinstill, L.C.S.W.
• Faith Christiane Hendon, MS, BCBA, LBA
• Melissa Lea Herbert, RD
• Kessie Lynne Herring, CNM
• Holly Jeanne Hesson, CMT
• Robert Lowell Hetzel, MD
• Sarah Hickey

• Assistant Behavior Analyst in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Assistant Behavior Analyst in Virginia

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

Verify at the official NPI Registry.