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Individual

ASHLEY A PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
44125 WOODRIDGE PKWY STE 100, LEESBURG, VA 20176-6839
(718) 637-0233
(703) 935-1366
Mailing address
44125 WOODRIDGE PKWY STE 100, LEESBURG, VA 20176-6839
(718) 637-0233
(703) 935-1366

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20-128585
REGISTERED BEHAVIOR TECHNICIAN
VA
Enumeration date
09/08/2022
Last updated
09/08/2022
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