Ashley Denise Clark, MS, LPP, BCBA-LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0070 Issued in KY

Practice address

5000 Ky Route 321
Prestonsburg, KY 41653-9113

Phone

(606) 889-3610

Fax

(606) 886-1316

NPI assigned

Jun 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Frontier Behavioral Health Center PLLC

  • Multi-Specialty Clinic/Center
  • Salyersville, KY
  • NPI 1295287118
  NPD (past)
• Frontier Foundation Inc.

  • Behavior Analyst
  • Prestonsburg, KY
  • NPI 1669259909
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1265693048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416530280",
            "telephone_number": "606-349-7475",
            "fax_number": "606-349-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 KY ROUTE 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539113",
            "telephone_number": "606-889-3610",
            "fax_number": "606-886-1316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "838 E Mountain Pkwy",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414658378",
            "country_code": "US",
            "telephone_number": "606-349-7475",
            "fax_number": "606-349-7476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ASHLEY",
        "middle_name": "DENISE",
        "credential": "MS, LPP, BCBA-LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "PSYPPR00216455",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "0070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Prestonsburg Office of Treasurer (Prestonsburg Fire EMS)
• Frederec Claiborne
• Erika Clapp
• Clarity Connection LLC
• Anthony Clark, CHW
• Edford Leon Clark Jr., DMD
• Jacqueline Clark
• Jennifer Clark
• Kara Clark
• Kimberly Clark

• Behavior Analyst in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.