Active NPI
Ashlynn Sullivan, CBT
- Behavior Technician
- Pullman, WA
National Provider Identifier
1306647748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1410 NE Stadium Way
Pullman, WA 99163-4619 - Phone
- (509) 332-7005
- NPI assigned
- Mar 21, 2025
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
1410 NE Stadium Way
Pullman, WA 99163-4619
Mailing address
1330 S Main St Apt 15
Moscow, ID 83843-4242
Phone (208) 916-6576
Other practice location 1
111 E Central Ave
Spokane, WA 99208-1108
Phone (208) 916-6576
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1306647748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 S MAIN ST APT 15",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838434242",
"telephone_number": "208-916-6576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 NE STADIUM WAY",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991634619",
"telephone_number": "509-332-7005"
}
],
"practiceLocations": [
{
"address_1": "111 E Central Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992081108",
"country_code": "US",
"telephone_number": "208-916-6576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "ASHLYNN",
"credential": "CBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-21",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.