Individual provider Active NPI

Ashly Goodyear

  • Behavior Technician
  • Overland Park, KS
National Provider Identifier
1891470969
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-274975 Issued in KS
Practice address
9153 W 133Rd St
Overland Park, KS 66213-4333
Phone
(913) 257-5185
Fax
(833) 340-7117
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-274975 KS Primary

Addresses

Primary practice location

9153 W 133Rd St
Overland Park, KS 66213-4333

Mailing address

9153 W 133Rd St
Overland Park, KS 66213-4333
Phone (913) 257-5185

Other practice location 1

7911 Metcalf Ave
Overland Park, KS 66204-3836
Phone (913) 257-5185 ext. 5

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

LicenseStateTypeSpecialty
RBT-23-274975KSMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
The Behavior Project LLC Behavior Technician PastSince Jun 18, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1891470969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9153 W 133RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134333",
            "telephone_number": "913-257-5185",
            "fax_number": "833-340-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9153 W 133RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134333",
            "telephone_number": "913-257-5185",
            "fax_number": "833-340-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7911 Metcalf Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662043836",
            "country_code": "US",
            "telephone_number": "913-257-5185 x5",
            "fax_number": "833-340-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODYEAR",
        "first_name": "ASHLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KS",
            "license": "RBT-23-274975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.