Active NPI
Ashley Updike, M.S., BCBA, LBA
- Behavior Analyst
- Winchester, VA
National Provider Identifier
1295285807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133001619
- 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
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 | 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, VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0133001619 | VA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Current | Accepting new patients | |
| New Horizons Professional ABA Services Inc. | Past | 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.
-
- Community/Behavioral Health Agency
- Winchester, VA
- NPI 1114256104
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.