Individual provider Active NPI

Ashley Nicole Martin, BCBA

  • Behavior Analyst
  • Birmingham, AL
National Provider Identifier
1205342516
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2018-060 Issued in AL
Practice address
200 Cahaba Park Cir # At116
Birmingham, AL 35242-5002
Phone
(205) 253-6903
NPI assigned
Dec 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2018-060 AL Primary

Addresses

Primary practice location

200 Cahaba Park Cir # At116
Birmingham, AL 35242-5002

Mailing address

776 Gate 8 Rd
Anniston, AL 36201-3906

Other practice location 1

6169 US Highway 11
Springville, AL 35146-4056
Phone (205) 207-2066

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
2018-060ALMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Behavior Group Past Accepting new patients

Organizations & group practices 1

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": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1205342516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 GATE 8 RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362013906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CAHABA PARK CIR # AT116",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425002",
            "telephone_number": "205-253-6903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6169 US Highway 11",
            "address_purpose": "LOCATION",
            "city": "Springville",
            "state": "AL",
            "postal_code": "351464056",
            "country_code": "US",
            "telephone_number": "205-207-2066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "2018-060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.