Ashley Waltz, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12477181 Issued in AL

Practice address

4778 Overton Rd
Birmingham, AL 35210-3803

Phone

(205) 957-0294

Fax

(205) 957-0298

NPI assigned

Apr 6, 2020

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ashley Waltz Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mitchell's Place, Inc.

  dba Mitchell's Place - South Side

  • Behavior Analyst
  • Birmingham, AL
  • NPI 1235263419
  NPD

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1861021461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4778 OVERTON RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352103803",
            "telephone_number": "205-957-0294",
            "fax_number": "205-957-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4778 OVERTON RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352103803",
            "telephone_number": "205-957-0294",
            "fax_number": "205-957-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTZ",
        "first_name": "ASHLEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "12477181",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "RBT-20-115558",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB CERTIFICATION FOR RBT",
            "identifier": "RBT-20-115558",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.mitchells-place.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "web information",
            "address_1": "4778 Overton Rd",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352103803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WALTZ",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie E Walton, MS, LPC
• Norman William Walton III, M.D.
• Patsy T Walton, RPT
• Philip D Walton, MD
• Senethia Walton, LICSW
• Christopher Ryan Walz, MD
• James Howell Wamack Jr., MD
• Julie A Wamble
• Catherine Wambua, P.T
• Clara Wan, MD

• Behavior Analyst in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.