Active NPI
Ashley Taylor Donathan, M.A., BCBA
- Behavior Analyst
- Chicago, IL
National Provider Identifier
1336830579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-64583
- Practice address
- 1500 N Clybourn Ave Ste 105
Chicago, IL 60610-3017 - Phone
- (312) 242-1665
- NPI assigned
- May 18, 2023
- 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 | 1-23-64583 | IL | Primary |
Addresses
Primary practice location
1500 N Clybourn Ave Ste 105
Chicago, IL 60610-3017
Mailing address
2201 N Cleveland Ave Apt 403
Chicago, IL 60614-3760
Phone (925) 785-8960
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1336830579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 N CLEVELAND AVE APT 403",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143760",
"telephone_number": "925-785-8960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N CLYBOURN AVE STE 105",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606103017",
"telephone_number": "312-242-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONATHAN",
"first_name": "ASHLEY",
"middle_name": "TAYLOR",
"credential": "M.A., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-23-64583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.