MEDICARE: MRS. ASHLEY WEATHERILL MA, BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-22-62768	OR
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst	001648	AZ

General Provider Information

NPI Number	:	1790323038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY WEATHERILL MA, BCBA

Provider Business Mailing Address
First Line	:	7140 SW FIR LOOP STE 105
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97223-8062
Country	:	US
Telephone Number	:	971-249-3791
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 S COUNTRY CLUB DR STE 38
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-6886
Country	:	US
Telephone Number	:	619-795-9925
Fax Number	:	877-602-5087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2019
Last Update Date	:	04/22/2025

Similar Medicare Providers

1699620815 — ANDREA NICOLE MAHAN BT
Practice Location Address:

2150 S COUNTRY CLUB DR STE 38
MESA, AZ
85210-6886

Practice Phone: 619-795-9925
Practice Fax:

1215203344 — MRS. JACLYN WATT NCC, LPC
Practice Location Address:

2150 S COUNTRY CLUB DR STE 41
MESA, AZ
85210-6886

Practice Phone: 480-497-4040
Practice Fax:

1114429222 — ILEA MARIE ADAMS BCBA
Practice Location Address:

2150 S COUNTRY CLUB DR STE 38
MESA, AZ
85210-6886

Practice Phone: 510-268-8130
Practice Fax:

1457854713 — KATHLEEN RHEA GALEOS
Practice Location Address:

2150 S COUNTRY CLUB DR STE 36
MESA, AZ
85210-6886

Practice Phone: 619-373-4570
Practice Fax:

1235615147 — MRS. CANDY TREJO TREJO GARCIA MA, LPC
Practice Location Address:

2150 S COUNTRY CLUB DR STE 36
MESA, AZ
85210-6886

Practice Phone: 602-361-3995
Practice Fax:

1255972899 — MEBE ARIZONA, LLC
Practice Location Address:

2150 S COUNTRY CLUB DR STE 36
MESA, AZ
85210-6886

Practice Phone: 619-795-9925
Practice Fax:

Directions to “ MRS. ASHLEY WEATHERILL MA, BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.