Provider Demographics
NPI:1659174795
Name:PINEDA, ASHLY (BCBA)
Entity type:Individual
Prefix:
First Name:ASHLY
Middle Name:
Last Name:PINEDA
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 E WOODCLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1260
Mailing Address - Country:US
Mailing Address - Phone:908-884-4539
Mailing Address - Fax:
Practice Address - Street 1:300 BROADACRES DR STE 175
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3165
Practice Address - Country:US
Practice Address - Phone:201-720-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-25-80019103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst