Divvia-Clyne Ashley Collins, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-17-7834 Issued in FL

Practice address

148 Wilshire Blvd
Casselberry, FL 32707-5372

Phone

(321) 972-4039

NPI assigned

Dec 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1194297424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 LEONE LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294079",
            "telephone_number": "386-679-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WILSHIRE BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075372",
            "telephone_number": "321-972-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DIVVIA-CLYNE",
        "middle_name": "ASHLEY",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-17-7834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018980700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coast Florida P.a. (Coast Dental-Casselberry)
• Sabrina L Coleman, M.A., CCC/SLP
• Nicole Coletti, ARNP
• Milton Collins El, LCSW
• Collins Orthopedic Lab Inc
• Comfortable Care Dental Health Professionals (Howell Branch Dental Care)
• Community Flourishing Initiative (Flourish Together Counseling Center)
• Marsha Jo Conklin
• Stephanie Anne Cook
• Peggy F Cooper, CNA

• Assistant Behavior Analyst in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.