Grace Evelyn Wasulko

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

301 N Main St Ste 2434
Winston Salem, NC 27101-3885

Phone

(336) 510-7910

Fax

(336) 510-9974

NPI assigned

May 12, 2021

Last updated

Nov 26, 2025By 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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brightbridge ABA New Mexico LLC

  • Behavior Analyst
  • Winston Salem, NC
  • NPI 1508659459
  NPD

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1689258873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST STE 2434",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013885",
            "telephone_number": "336-510-7910",
            "fax_number": "336-510-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASULKO",
        "first_name": "GRACE",
        "middle_name": "EVELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Washington
• Samantha Washington, MS, CFY-SLP
• Victoria Sade' Washington
• Katherine Maryann Wasowski, DNP, FNP-BC
• Kelly Marie Wasson, LCSW
• Courtney White Waszczeniuk, FNP-C
• Ronald Patton Waterer, M.D.
• Brian Robert Waterman, MD
• Gregory Stiegler Waters, MD
• Marisa Waters

• Behavior Analyst in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.