Active NPI
Aysha Mae Lonich, BCBA
- Behavior Analyst
- Raleigh, NC
National Provider Identifier
1114339488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-18610
- Practice address
- 3739 National Dr Ste 110
Raleigh, NC 27612-4817 - Phone
- (919) 502-4109
- NPI assigned
- May 21, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | 1-15-18610 | Primary |
Addresses
Primary practice location
3739 National Dr Ste 110
Raleigh, NC 27612-4817
Mailing address
1931 Golden Globe Dr
Fuquay Varina, NC 27526-4503
Phone (724) 554-3801
Other names 1
- Aysha Mae Campbell
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1114339488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 GOLDEN GLOBE DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275264503",
"telephone_number": "724-554-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3739 NATIONAL DR STE 110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124817",
"telephone_number": "919-502-4109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONICH",
"first_name": "AYSHA",
"middle_name": "MAE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-15-18610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AYSHA",
"last_name": "CAMPBELL",
"middle_name": "MAE",
"credential": "BCBA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.