Active NPI
Ashleigh Ellenburg, RBT
- Behavior Technician
- Enterprise, AL
National Provider Identifier
1700534351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1016 Boll Weevil Cir Ste 2
Enterprise, AL 36330-1317 - Phone
- (334) 661-7635
- Fax
- (334) 694-0574
- NPI assigned
- Mar 14, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1016 Boll Weevil Cir Ste 2
Enterprise, AL 36330-1317
Mailing address
1016 Boll Weevil Cir Ste 2
Enterprise, AL 36330-1317
Phone (334) 661-7635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-22-206698 | Other | BACB |
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": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1700534351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 BOLL WEEVIL CIR STE 2",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363301317",
"telephone_number": "334-661-7635",
"fax_number": "334-694-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 BOLL WEEVIL CIR STE 2",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363301317",
"telephone_number": "334-661-7635",
"fax_number": "334-694-0574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLENBURG",
"first_name": "ASHLEIGH",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-22-206698",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.