Active NPI
Ashleigh Shouse
- Behavior Analyst
- Macon, GA
National Provider Identifier
1710616024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 150 N Crest Blvd
Macon, GA 31210-1845 - Phone
- (478) 845-7516
- NPI assigned
- Jun 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-218522 | GA | |
| Behavior Analyst | 103K00000X | GA | Primary |
Addresses
Primary practice location
150 N Crest Blvd
Macon, GA 31210-1845
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Other practice location 1
4931 Riverside Dr Ste 400A
Macon, GA 31210-1195
Phone (478) 219-7626
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-218522 | GA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge, LLC | Behavior Analyst | Past | Accepting new patients |
| Hopebridge, LLC | Behavior Analyst | Past | Accepting new patients |
| Jaelyn Buchanan | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavior Technician
- Macon, GA
- NPI 1134050842
-
- Child & Adolescent Psychiatry Physician
- Miamisburg, OH
- NPI 1326550781
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1710616024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 INTERNATIONAL PKWY STE 200",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N CREST BLVD",
"city": "MACON",
"state": "GA",
"postal_code": "312101845",
"telephone_number": "478-845-7516"
}
],
"practiceLocations": [
{
"address_1": "4931 Riverside Dr Ste 400A",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312101195",
"country_code": "US",
"telephone_number": "478-219-7626",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOUSE",
"first_name": "ASHLEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-10",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-22-218522",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.