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Individual

ASHLEY NICOLE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
1651 OLD MEADOW RD, MC LEAN, VA 22102-4311
(800) 828-5659
Mailing address
2807 CRESTWICK PL, DISTRICT HEIGHTS, MD 20747-2780
(240) 355-6635

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-18254
MD

Other

Enumeration date
03/28/2018
Last updated
03/28/2018
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