Individual provider Active NPI

Ashley Carrigan, BCBA

  • Behavior Analyst
  • Peachtree City, GA
National Provider Identifier
1396114674
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-35634 Issued in GA
Practice address
112 Fen Way
Peachtree City, GA 30269-2936
Phone
(678) 626-0557
NPI assigned
Sep 17, 2015
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Behavior Analyst 103K00000X 1-19-35634 GA Primary

Addresses

Primary practice location

112 Fen Way
Peachtree City, GA 30269-2936

Mailing address

112 Fen Way
Peachtree City, GA 30269-2936
Phone (678) 626-0557

Other practice location 1

3786 Lavista Road
Suite 104
Tucker, GA 30084
Phone (678) 626-0557

Other practice location 2

3786 Lavista Road
Suite 104
Tucker, GA 30084
Phone (678) 626-0557

Other identifiers 1

IdentifierTypeStateIssuer
003227587CMedicaidGA

Other names 1

  • Ashley Hayes Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@cymblearning.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Young Minds Behavior & Learning, LLC Behavior Analyst CurrentSince Apr 3, 2022 Accepting new patients
Achievements ABA Therapy Ga LLC Behavior Analyst Past Accepting new patients
National Children's Center, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1396114674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FEN WAY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692936",
            "telephone_number": "678-626-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FEN WAY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692936",
            "telephone_number": "678-626-0557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3786 Lavista Road",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "30084",
            "country_code": "US",
            "telephone_number": "678-626-0557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3786 Lavista Road",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Tucker",
            "state": "GA",
            "postal_code": "30084",
            "country_code": "US",
            "telephone_number": "678-626-0557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRIGAN",
        "first_name": "ASHLEY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-19-35634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003227587C",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@cymblearning.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "112 Fen Way",
            "city": "Peachtree City",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302692936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HAYES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.