Aysha Nasir Siddiqui, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-44385 Issued in GA

Practice address

2059 Scenic Hwy N Ste 101
Snellville, GA 30078-6141

Phone

(470) 327-9193

Fax

(317) 520-8200

NPI assigned

Sep 18, 2020

Last updated

Oct 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Zems Behavioral Services

  • Behavior Analyst
  • Decatur, GA
  • NPI 1396576062
  NPD
• Georgia Behavior Associates LLC

  • Behavior Analyst
  • Atlanta, GA
  • NPI 1033602941
  NPD (past)

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1891301453",
    "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": "2059 SCENIC HWY N STE 101",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786141",
            "telephone_number": "470-327-9193",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "AYSHA",
        "middle_name": "NASIR",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-20-44385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Paul Sherlag, M.D.
• Eun J Shin, DMD
• Amanda Shoemaker, RBT
• Azeezat Bodunrin Shonibare
• Tatanisha Shumpert, NBCC
• Donna Marie Sieber, C.R.N.A.
• Gary Edward Siegel, M.D.
• Stephen W Sieradzki, D.C.
• Stella Nagwa Sikod
• Sillah Group Homes

• Behavior Analyst in Snellville, GA
• Providers in Snellville, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.