Ad-Astra Custis Dandridge

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1020 Triumphant St
Henderson, NV 89052-3918

Phone

(702) 503-0848

NPI assigned

Dec 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Ainsley Custis Dandridge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1619745908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TRIUMPHANT ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523918",
            "telephone_number": "702-503-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TRIUMPHANT ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523918",
            "telephone_number": "702-503-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDRIDGE",
        "first_name": "AD-ASTRA",
        "middle_name": "CUSTIS",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AINSLEY",
            "last_name": "DANDRIDGE",
            "middle_name": "CUSTIS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aricia Dami, DC
• Deanna Damiano, PHARMD.
• Amber Marie Damitz
• Motunrayo Damole
• Ronald Reny Dampog, APRN
• Jordan Pouran Daneshzadeh
• Anna Diem Huong Dang, MD
• Nicolas Dang
• Daniel L. Burkhead, M.D. LTD
• Daniel Sabry MD PC

• Behavior Technician in Henderson, NV
• Providers in Henderson, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.