Active NPI
Ashley Nichole Stroup-Mishenko, RBT, BCBA, LBA
- Behavior Analyst
- Garner, NC
National Provider Identifier
1477053676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-61794
- Practice address
- 640 Timber Drive East
Garner, NC 27529 - Phone
- (984) 849-3666
- NPI assigned
- Feb 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-22-61794 | NC | Primary |
Addresses
Primary practice location
640 Timber Drive East
Garner, NC 27529
Mailing address
640 Timber Drive East
Garner, NC 27529
Phone (984) 849-3666
Other practice location 1
2311 Chetwood Cir Apt 102
Timonium, MD 21093-2482
Phone (760) 600-6070
Other practice location 2
5105 Bur Oak Cir
Raleigh, NC 27612-3160
Phone (980) 785-1113 ext. 122
Other names 1
- Ashley Nichole Tennyson
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1477053676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 TIMBER DRIVE EAST",
"city": "GARNER",
"state": "NC",
"postal_code": "27529",
"telephone_number": "984-849-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 TIMBER DRIVE EAST",
"city": "GARNER",
"state": "NC",
"postal_code": "27529",
"telephone_number": "984-849-3666"
}
],
"practiceLocations": [
{
"address_1": "2311 Chetwood Cir Apt 102",
"address_purpose": "LOCATION",
"city": "Timonium",
"state": "MD",
"postal_code": "210932482",
"country_code": "US",
"telephone_number": "760-600-6070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5105 Bur Oak Cir",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276123160",
"country_code": "US",
"telephone_number": "980-785-1113 x122",
"fax_number": "980-785-1114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STROUP-MISHENKO",
"first_name": "ASHLEY",
"middle_name": "NICHOLE",
"credential": "RBT, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2024-08-13",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-22-61794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "TENNYSON",
"middle_name": "NICHOLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.