Ashley Blackmore
Individual provider Active NPI Behavior Analyst · N Las Vegas, NV
NPI 1154618940 · NPPES record last updated Apr 26, 2012
Key facts
- NPI
- 1154618940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- NV20101087770 (NV)
- Practice address
- 3925 N Martin L King Blvd
Suite 202
N Las Vegas, NV 89032-7673 - Phone
- (702) 749-6332
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NV20101087770 | NV | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NV20101087770 | NV | Yes |
Addresses
Primary practice location
3925 N Martin L King Blvd
Suite 202
N Las Vegas, NV 89032-7673
Mailing address
3925 N Martin L King Blvd
Suite 202
N Las Vegas, NV 89032-7673
NPI Registry JSON
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1154618940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 N MARTIN L KING BLVD",
"address_2": "SUITE 202",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890327673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 N MARTIN L KING BLVD",
"address_2": "SUITE 202",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890327673",
"telephone_number": "702-749-6332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMORE",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "NV20101087770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Las Vegas, NV
- Keorris Berry
- Azjah Billingsley
- Tiara Bingham
- Charmiece B Binion
- Josephine Ann Blackburn
- Shanel Blackson
- Ashley Blake
- Martha Blanco
- Jennifer Jane Blevins
- January Blue
All providers in N Las Vegas, NV · Behavior Analyst in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.