Breelin Ashley Eddy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT-16-20813 Issued in CA

Practice address

30804 Moonflower LN
Murrieta, CA 92563-7936

Phone

(951) 325-7630

Fax

(951) 325-2585

NPI assigned

Feb 1, 2018

Last updated

Feb 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1598264855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31559 ROSE SAGE WAY",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633319",
            "telephone_number": "951-255-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30804 MOONFLOWER LN",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637936",
            "telephone_number": "951-325-7630",
            "fax_number": "951-325-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "BREELIN",
        "middle_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "RBT-16-20813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli J Eberly
• Philip Murphy Ebersole, M.D.
• Christian Miles Ebuen
• Ecie Anesthesia LLC
• Jenna Raquel Eckstein
• Luke Edgson
• Edmond Child and Family Counseling, Clark D Edmond, Licensed Clinical
• Clark David Edmond, LCSW
• Jeffrey William Edmunds, D.O., M.S., R.D.
• Thelma I Edquid, M.D.

• Behavior Analyst in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.