Ally Audrey Tate

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-62222 Issued in NH

Practice address

476C Par Dr
Pembroke, NH 03275-3280

Phone

(978) 504-1397

NPI assigned

Sep 11, 2018

Last updated

Sep 24, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Empowering Minds ABA Solutions, LLC

  • Behavior Analyst
  • Pembroke, NH
  • NPI 1154217131
  NPD Authorized official
• Autism Bridges LLC

  • Behavior Analyst
  • Bedford, NH
  • NPI 1205131596
  NPD (past)

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1407339955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476C PAR DR",
            "city": "PEMBROKE",
            "state": "NH",
            "postal_code": "032753280",
            "telephone_number": "978-504-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476C PAR DR",
            "city": "PEMBROKE",
            "state": "NH",
            "postal_code": "032753280",
            "telephone_number": "978-504-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ALLY",
        "middle_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NH",
            "license": "1-22-62222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Shirilla, LICSW
• Softouch for Wellness, PLLC
• Spectrum Lifecare Services
• Tyler Scott St. Cyr, CAGS
• Daeghan Marie Stone, APRN, FNP-C
• The Southern New Hampshire Expressive Art Therapy Studio PLLC
• Town of Pembroke
• Tradewinds Counseling and Consulting, LLC
• Cynthia Anne Tranchemontagne, PA-C
• Tri Town Volunteer Emergency Ambulance Service Inc

• Behavior Analyst in Pembroke, NH
• Providers in Pembroke, NH by specialty
• Behavior Analyst in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.