Active NPI
Ashleigh Evans, BCBA
- Behavior Analyst
- Brookfield, WI
National Provider Identifier
1144715541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 237-140
- Practice address
- 330 S Executive Dr Ste 210
Brookfield, WI 53005 - Phone
- (262) 737-6131
- NPI assigned
- Jun 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 237-140 | WI | Primary |
Addresses
Primary practice location
330 S Executive Dr Ste 210
Brookfield, WI 53005
Mailing address
1575 Allouez Ave
Green Bay, WI 54311-5639
Phone (920) 430-0586
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237-140 | WI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1144715541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 ALLOUEZ AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543115639",
"telephone_number": "920-430-0586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S EXECUTIVE DR STE 210",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "53005",
"telephone_number": "262-737-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ASHLEIGH",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WI",
"license": "237-140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.