Individual provider Active NPI

Ashley Nichole Harmer, BCBA

  • Behavior Analyst
  • Fayetteville, NC
National Provider Identifier
1154717510
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11728514 Issued in NC
Practice address
1824 Harrington Rd
Fayetteville, NC 28306-3951
Phone
(910) 687-4099
Fax
(910) 302-3845
NPI assigned
Apr 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 11728514 NC Primary

Addresses

Primary practice location

1824 Harrington Rd
Fayetteville, NC 28306-3951

Mailing address

1824 Harrington Rd
Fayetteville, NC 28306-3951

Other names 1

  • Ms. Ashley Nichole Long 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

State licenses

LicenseStateTypeSpecialty
11728514NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Behavioral Therapy Solutions Behavior Analyst CurrentSince Apr 3, 2022 Accepting new patients
A New Leaf Therapeutic Services, PLLC Behavior Analyst PastSince Jun 11, 2014 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1154717510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 HARRINGTON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 HARRINGTON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063951",
            "telephone_number": "910-687-4099",
            "fax_number": "910-302-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMER",
        "first_name": "ASHLEY",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "11728514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "LONG",
            "middle_name": "NICHOLE",
            "prefix": "MS.",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.