Annah Maria Gulledge

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-63734 Issued in SC

Practice address

1345 Companion CT
Sumter, SC 29150-1749

Phone

(803) 905-5107

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Early Autism Project, Inc.

  • Behavior Analyst
  • Sumter, SC
  • NPI 1417477175
  NPD (past)
• Early Autism Project, Inc.

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1033427471
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1124587290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE STE 410",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172665",
            "telephone_number": "615-695-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 COMPANION CT",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501749",
            "telephone_number": "803-905-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLEDGE",
        "first_name": "ANNAH",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "RBT-19-81335",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-23-63734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grow, Learn, Excel Intervention LLC
• Larry Douglas Grubb, MD
• Sydney Gualtieri
• Richard B. Guess
• John Wallace Guilds, DC
• Kristen Anne Guzak, DPT
• H.O.P.E. Advancement, Inc.
• Kristin KB Hackett, PHYSICAL THERAPIST
• Tamara Hale, LMT, CMT
• Amy Keller Hall, MCD, CCC-SLP

• Behavior Analyst in Sumter, SC
• Providers in Sumter, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.