=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881531853
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHLEY LEVINER RBT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/29/2026
-----------------------------------------------------
Last Update Date | 04/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 511 W BUTLER RD
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29607-4833
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-757-9918
-----------------------------------------------------
Fax | 864-757-9921
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 99 INGRAM LN
-----------------------------------------------------
City | CHERAW
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29520-6275
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-757-9918
-----------------------------------------------------
Fax | 864-757-9921
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number | 1-26-89471
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------