Individual provider Active NPI

Ashley Mitchell

  • Behavior Analyst
  • Vestavia Hills, AL
National Provider Identifier
1689333692
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-21-184496 Issued in AL
Practice address
2081 Columbiana Rd
Vestavia Hills, AL 35216-2139
Phone
(205) 991-2584
Fax
(205) 991-4829
NPI assigned
Dec 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X RBT-21-184496 AL Primary

Addresses

Primary practice location

2081 Columbiana Rd
Vestavia Hills, AL 35216-2139

Mailing address

2081 Columbiana Rd
Vestavia Hills, AL 35216-2139
Phone (205) 991-2584

Other identifiers 1

IdentifierTypeStateIssuer
RBT-21-184496OtherALPROVIDER DOES NOT ACCEPT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amitchell@behavioralone.com

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

State licenses

LicenseStateTypeSpecialty
RBT-21-184496ALMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1689333692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 COLUMBIANA RD",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162139",
            "telephone_number": "205-991-2584",
            "fax_number": "205-991-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 COLUMBIANA RD",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162139",
            "telephone_number": "205-991-2584",
            "fax_number": "205-991-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "RBT-21-184496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER DOES NOT ACCEPT",
            "identifier": "RBT-21-184496",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amitchell@behavioralone.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2081 Columbiana Rd",
            "city": "Vestavia Hills",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352162139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.