Ashley Lynne-Theresa Cantrell, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-48318 Issued in MI

Practice address

666 E Main St Ste B
Centreville, MI 49032-9803

Phone

(269) 241-2700

NPI assigned

Jun 4, 2020

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 Arts

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.

• Ripple Effects Autism Learning Center, LLC

  • Behavior Analyst
  • South Haven, MI
  • NPI 1275001828
  NPD (past)

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1447874573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 E MAIN ST STE B",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490329803",
            "telephone_number": "269-241-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 E MAIN ST STE B",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490329803",
            "telephone_number": "269-241-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Paw Paw",
            "state": "MI",
            "postal_code": "490791354",
            "country_code": "US",
            "telephone_number": "269-615-8209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "ASHLEY",
        "middle_name": "LYNNE-THERESA",
        "name_prefix": "Ms.",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "MI",
            "license": "BACB88877",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-21-48318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447874573",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha D Brown, MSW
• Barbara Pearl Bungart, MA LPC
• Kendra Lynn Burch
• Michelle Butkiewicz, LMSW
• Amber Canfield
• Nicholas Carimi
• Aubrey Carr
• McKenzie Carroll
• Lindsay Cary
• Centerville Village Pharmacy

• Behavior Analyst in Centreville, MI
• Providers in Centreville, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.