Individual provider Active NPI

Ashley Elaine Weinlaeder, M.ED, BCBA, LBA

  • Behavior Analyst
  • Grafton, ND
National Provider Identifier
1962164491
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L90 Issued in ND
Practice address
15910 71St St NE
Grafton, ND 58237-8814
Phone
(701) 352-4392
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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 L90 ND Primary

Addresses

Primary practice location

15910 71St St NE
Grafton, ND 58237-8814

Mailing address

15910 71St St NE
Grafton, ND 58237-8814
Phone (701) 360-2509

Other names 1

  • Ms. Ashley Elaine Lafreniere Former name

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 Education

State licenses

LicenseStateTypeSpecialty
L90NDMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1962164491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15910 71ST ST NE",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582378814",
            "telephone_number": "701-360-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15910 71ST ST NE",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582378814",
            "telephone_number": "701-352-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINLAEDER",
        "first_name": "ASHLEY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "ND",
            "license": "L90",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "LAFRENIERE",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "credential": "M.ED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grafton, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.