Active NPI
Ashley-Marie Black
- Behavior Analyst
- Oakland Park, FL
National Provider Identifier
1194484915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-84597
- Practice address
- 3701 N Dixie Hwy
Oakland Park, FL 33334-2997 - Phone
- (561) 609-0770
- NPI assigned
- Dec 8, 2021
- 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 | 1-25-84597 | FL | Primary |
Addresses
Primary practice location
3701 N Dixie Hwy
Oakland Park, FL 33334-2997
Mailing address
4620 N SR7
Suite 300
Lauderdale Lakes, FL 33319
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": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1194484915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 N SR7",
"address_2": "SUITE 300",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "33319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 N DIXIE HWY",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333342997",
"telephone_number": "561-609-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "ASHLEY-MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-08",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-25-84597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.