Individual provider Active NPI

Ashley Updike, M.S., BCBA, LBA

  • Behavior Analyst
  • Winchester, VA
National Provider Identifier
1295285807
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133001619 Issued in VA
Practice address
500 W Jubal Early Dr Ste 210
Winchester, VA 22601-6508
Phone
(540) 431-5641
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133001619 VA Primary

Addresses

Primary practice location

500 W Jubal Early Dr Ste 210
Winchester, VA 22601-6508

Mailing address

310 S Shenandoah Ave
Front Royal, VA 22630-2448

Other practice location 1

120 Bellview Ave
Winchester, VA 22601-3142
Phone (540) 542-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210127001305 DC Practitioner - Qualified Speech Language Pathologist 0244644599 Reassigns benefits to 1 organization
I20210127002600 VA Practitioner - Qualified Speech Language Pathologist 0244644599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0133001619VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services LLC CurrentSince Jan 1, 2021 Accepting new patients
New Horizons Professional ABA Services Inc. PastSince Apr 26, 2020 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1295285807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S SHENANDOAH AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W JUBAL EARLY DR STE 210",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016508",
            "telephone_number": "540-431-5641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Bellview Ave",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226013142",
            "country_code": "US",
            "telephone_number": "540-542-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPDIKE",
        "first_name": "ASHLEY",
        "credential": "M.S., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.