Ashley Nicole Jollie
Individual provider Active NPI Behavior Analyst · Shalimar, FL
NPI 1750057717 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1750057717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 15 10TH Ave
Shalimar, FL 32579-1340 - Phone
- (850) 362-6826
- NPI assigned
- Aug 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Expectations Inc. | Behavior Analyst | Current |
Accepting new patients |
| Beyond Expectations Inc. | Behavior Analyst | Current |
Accepting new patients |
Locations
15 10th Ave
Shalimar, FL 32579
Phone (850) 362-6842
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | FL | Yes |
Addresses
Primary practice location
15 10TH Ave
Shalimar, FL 32579-1340
Mailing address
PO Box 259
Shalimar, FL 32579-0259
Phone (850) 362-6824
Other practice location 1
417 Racetrack Rd NW
Fort Walton Beach, FL 32547-4612
Phone (850) 362-6824
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Measurement |
Other providers in Shalimar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.