Individual
ASHLEY ULLOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 INVESTORS PL STE 105, VIRGINIA BEACH, VA 23452-1185
(757) 402-6345
Mailing address
1640 E PARHAM RD, HENRICO, VA 23228-2368
(804) 316-6656
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-313046
VA
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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