Individual provider Active NPI

Ashley Maryam Romina, BA, BCABA

  • Behavior Analyst
  • Westlake, OH
National Provider Identifier
1972180800
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0-21-11891 Issued in OH
Practice address
896 Corporate Way
Westlake, OH 44145-1502
Phone
(440) 568-7373
Fax
(440) 468-0324
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-21-11891 OH Primary
Behavior Analyst 103K00000X 1-24-75022 OH

Addresses

Primary practice location

896 Corporate Way
Westlake, OH 44145-1502

Mailing address

958 Tradewinds CV
Painesville, OH 44077-4698
Phone (740) 590-4347

Other practice location 1

56 Adelbert St
Berea, OH 44017-1702
Phone (440) 568-7375

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
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Behavioral Group Behavior Analyst CurrentSince Aug 25, 2025 Accepting new patients
Insight Behavioral Consulting Behavior Analyst CurrentSince Aug 18, 2024 Accepting new patients
Insight Psychiatric Clinic LLC CurrentSince Aug 18, 2024 Accepting new patients
Knapp Center for Childhood Development PastSince Mar 1, 2021 Accepting new patients

Locations

56 Adelbert St
Berea, OH 44017
Phone (440) 568-7373

896 Corporate Way
Westlake, OH 44145
Phone (330) 283-4145

Organizations & group practices 4

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1972180800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 TRADEWINDS CV",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440774698",
            "telephone_number": "740-590-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 CORPORATE WAY",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451502",
            "telephone_number": "440-568-7373",
            "fax_number": "440-468-0324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Adelbert St",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "OH",
            "postal_code": "440171702",
            "country_code": "US",
            "telephone_number": "440-568-7375",
            "fax_number": "440-468-0324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMINA",
        "first_name": "ASHLEY",
        "middle_name": "MARYAM",
        "credential": "BA, BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "0-21-11891",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-24-75022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.