Ashley Blake

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

700 W 2ND St
Pinconning, MI 48650-8902

Phone

(989) 324-8924

NPI assigned

Jun 19, 2014

Sex

Female

Sole proprietor

Yes

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.

• Autism and Neurodiversity Services

  • Clinical Social Worker
  • Bay City, MI
  • NPI 1245076876
  NPD Authorized official
• Encompass Therapy Center, LLC

  • Behavior Analyst
  • Bay City, MI
  • NPI 1235645847
  NPD Authorized official
• Encompass Therapy Center, LLC

  • Behavior Analyst
  • Bay City, MI
  • NPI 1679381701
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2014.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1700290459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 2ND ST",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486508902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 2ND ST",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486508902",
            "telephone_number": "989-324-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bartkowiak-Wise, RN
• Bayshore Family Chiropractic
• Bayshore Family Chiropractic
• Brent J Raap DO PC
• Eva Dafoe
• Elizabeth Irene Dewyse, O.T.R/L
• Stephaine Ann Fath
• Casandra Finn

• All providers in Pinconning, MI
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.