Individual provider Active NPI

Ashley Simmons, BCBA

  • Behavior Analyst
  • Marietta, GA
National Provider Identifier
1124310321
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-10-7108 Issued in GA
Practice address
1511 Johnson Ferry Rd Ste 145
Marietta, GA 30062
Phone
(404) 480-3842
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-10-7108 GA Primary

Addresses

Primary practice location

1511 Johnson Ferry Rd Ste 145
Marietta, GA 30062

Mailing address

1321 Murfreesboro Pike Ste 702
Nashville, TN 37217-2679
Phone (615) 695-2277

Other practice location 1

120 Vann St NE Ste 100
Marietta, GA 30060-7310
Phone (678) 872-2500

Other practice location 2

120 Vann St NE Ste 100
Marietta, GA 30060-7310
Phone (678) 872-2500

Other practice location 3

1920 Briarcliff Rd NE
Atlanta, GA 30329-4010
Phone (404) 785-6162

Other names 1

  • Ashley Baker Former name

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": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1124310321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE STE 702",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172679",
            "telephone_number": "615-695-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 JOHNSON FERRY RD STE 145",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "404-480-3842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Vann St NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300607310",
            "country_code": "US",
            "telephone_number": "678-872-2500",
            "fax_number": "770-667-3879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Vann St NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300607310",
            "country_code": "US",
            "telephone_number": "678-872-2500",
            "fax_number": "770-667-3879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 Briarcliff Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303294010",
            "country_code": "US",
            "telephone_number": "404-785-6162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ASHLEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-10-7108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BAKER",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.