Individual provider Active NPI

Allison Ulrich

  • Behavior Analyst
  • Fairmont, WV
National Provider Identifier
1427786284
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
739853 Issued in OH
Practice address
601 Locust Ave
Fairmont, WV 26554-4721
Phone
(681) 350-1466
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 739853 OH Primary

Addresses

Primary practice location

601 Locust Ave
Fairmont, WV 26554-4721

Mailing address

513 E Main St
Clarksburg, WV 26301-3119
Phone (843) 743-4916

Other practice location 1

2810 Ashley Phosphate Rd Ste B11
Charleston, SC 29418-6406
Phone (843) 813-1538

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

LicenseStateTypeSpecialty
739853OHMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Child Development Services, LLC Behavior Analyst PastSince Aug 1, 2022 Accepting new patients
Mountainside Behavior Analysis Services, LCC Past Accepting new patients

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1427786284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 E MAIN ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263013119",
            "telephone_number": "843-743-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544721",
            "telephone_number": "681-350-1466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 Ashley Phosphate Rd Ste B11",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294186406",
            "country_code": "US",
            "telephone_number": "843-813-1538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "739853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.