Healthcare Provider Details

I. General information

NPI: 1609438191
Provider Name (Legal Business Name): ASHLEY MARIE GIANGIULIO BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY SIPE

II. Dates (important events)

Enumeration Date: 07/03/2019
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 E 88TH ST
INDIANAPOLIS IN
46256-1235
US

IV. Provider business mailing address

12 HAMPSTEAD CT
WESTFIELD IN
46074-4374
US

V. Phone/Fax

Practice location:
  • Phone: 317-849-5437
  • Fax:
Mailing address:
  • Phone: 317-941-3966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-34069
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: