Aspen Leigh Grant, MED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BEH-000587 Issued in AZ

Practice address

14510 W Shumway Dr Ste 200
Sun City West, AZ 85375-5817

Phone

(623) 401-1232

Fax

(317) 520-8200

NPI assigned

Jan 13, 2020

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Advanced Autism Center for Treatment LLC

  • Behavior Analyst
  • Mesa, AZ
  • NPI 1811453434
  NPD (past)

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1720628233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14510 W SHUMWAY DR STE 200",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755817",
            "telephone_number": "623-401-1232",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ASPEN",
        "middle_name": "LEIGH",
        "credential": "MED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-20-41131",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Piper L Goss, RBT
• Barbara J Gould, PT
• Grafted Care LLC
• Grandview Surgical Associates PC
• Victoria Grannis, RBT
• Greatcare and Wellness LLC
• Roger Alan Green, DDS
• Valencia Anquenette Green, L.M.T.
• Danielle Rose Greenfield, PT, DPT
• Tasha Grissett, PA

• Behavior Analyst in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.