Provider Demographics
NPI:1942791694
Name:PULLEY, ARIEL (MA, BCBA)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:PULLEY
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 W 37TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46013-4004
Mailing Address - Country:US
Mailing Address - Phone:888-484-3324
Mailing Address - Fax:888-616-1634
Practice Address - Street 1:550 W 37TH ST STE A
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013-4004
Practice Address - Country:US
Practice Address - Phone:888-454-3324
Practice Address - Fax:818-616-1634
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN106S00000X
IN1-24-72965103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician