Active NPI
Luca Pulliam
- Behavior Technician
- Cameron, NC
National Provider Identifier
1164098497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-113938
- Practice address
- 1477 NC 24-87
Cameron, NC 28326-6752 - Phone
- (910) 484-1711
- NPI assigned
- May 27, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-113938 | NC | Primary |
| Behavior Analyst | 103K00000X | 4250 | NC |
Addresses
Primary practice location
1477 NC 24-87
Cameron, NC 28326-6752
Mailing address
511 Blaney CT
Hope Mills, NC 28348-9298
Other names 1
- Anna Pulliam
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4250 | NC | MD | Professional Counselor |
| RBT-20-113938 | NC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1164098497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 BLANEY CT",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283489298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 NC 24-87",
"city": "CAMERON",
"state": "NC",
"postal_code": "283266752",
"telephone_number": "910-484-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLIAM",
"first_name": "LUCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "RBT-20-113938",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "4250",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "PULLIAM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cameron, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.