Individual provider Active NPI

Ashley E Eisfeld, BCBA

  • Behavior Analyst
  • Stockton, CA
National Provider Identifier
1548707219
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-37814 Issued in CA
Practice address
2291 W March LN Ste C101
Stockton, CA 95207-6669
Phone
(209) 401-0887
NPI assigned
Jan 19, 2017
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-37814 CA Primary

Addresses

Primary practice location

2291 W March LN Ste C101
Stockton, CA 95207-6669

Mailing address

2291 W March LN Ste C101
Stockton, CA 95207-6669
Phone (209) 401-0887

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": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1548707219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 W MARCH LN STE C101",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076669",
            "telephone_number": "209-401-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 W MARCH LN STE C101",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076669",
            "telephone_number": "209-401-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISFELD",
        "first_name": "ASHLEY",
        "middle_name": "E",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-37814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.