Active NPI
Ashley Elizabeth Nusbaum
- Behavior Analyst
- Shelby TWP, MI
National Provider Identifier
1982055208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 49466 Nicholette
Shelby TWP, MI 48317-2283 - Phone
- (248) 506-4079
- NPI assigned
- Jun 28, 2016
- Last updated
- May 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
49466 Nicholette
Shelby TWP, MI 48317-2283
Mailing address
49466 Nicholette
Shelby TWP, MI 48317-2283
Other practice location 1
38807 Ann Arbor Rd
Unit 3
Livonia, MI 48150-3896
Phone (513) 258-7186
Other practice location 2
2710 Lochmoor Blvd
Lake Orion, MI 48360
Phone (248) 506-4079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-18-31385 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1982055208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49466 NICHOLETTE",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483172283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49466 NICHOLETTE",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483172283",
"telephone_number": "248-506-4079"
}
],
"practiceLocations": [
{
"address_1": "38807 Ann Arbor Rd",
"address_2": "Unit 3",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481503896",
"country_code": "US",
"telephone_number": "513-258-7186",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2710 Lochmoor Blvd",
"address_purpose": "LOCATION",
"city": "Lake Orion",
"state": "MI",
"postal_code": "48360",
"country_code": "US",
"telephone_number": "248-506-4079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUSBAUM",
"first_name": "ASHLEY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-18-31385",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.