Individual provider Active NPI

Ashley Dawn Gettino, M.S., BCBA

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1952722035
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-10285
Practice address
3771 San Jose PL Ste 22
Jacksonville, FL 32257-2439
Phone
(904) 928-0112
Fax
(904) 928-0112
NPI assigned
Dec 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-10285 Primary

Addresses

Primary practice location

3771 San Jose PL Ste 22
Jacksonville, FL 32257-2439

Mailing address

3771 San Jose PL Ste 22
Jacksonville, FL 32257-2439
Phone (904) 928-0112

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1952722035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 SAN JOSE PL STE 22",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322572439",
            "telephone_number": "904-928-0112",
            "fax_number": "904-928-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 SAN JOSE PL STE 22",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322572439",
            "telephone_number": "904-928-0112",
            "fax_number": "904-928-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETTINO",
        "first_name": "ASHLEY",
        "middle_name": "DAWN",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-14-10285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.