Active NPI
Ashley Pullum, M.S.ED, BCABA
- Behavior Analyst
- Mount Airy, MD
National Provider Identifier
1083004394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 505 Windy Knoll Dr Unit 323
Mount Airy, MD 21771-6614 - Phone
- (240) 668-4415
- Fax
- (240) 673-6322
- NPI assigned
- Jan 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
505 Windy Knoll Dr Unit 323
Mount Airy, MD 21771-6614
Mailing address
505 Windy Knoll Dr Unit 323
Mount Airy, MD 21771-6614
Phone (240) 668-4415
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breyta Behavioral Health LLC | Behavior Analyst | Current | Accepting new patients |
Locations
505 Windy Knoll Dr
Unit 323
Mount Airy, MD 21771
Phone (240) 668-4415
Organizations & group practices 1
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.
-
- Behavior Analyst
- Towson, MD
- NPI 1518677046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1083004394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 WINDY KNOLL DR UNIT 323",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217716614",
"telephone_number": "240-668-4415",
"fax_number": "240-673-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 WINDY KNOLL DR UNIT 323",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217716614",
"telephone_number": "240-668-4415",
"fax_number": "240-673-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLUM",
"first_name": "ASHLEY",
"credential": "M.S.ED, BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.