Individual
ASHLEY SEGARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12731 MARBLESTONE DR STE 101, WOODBRIDGE, VA 22192-8334
(571) 378-5097
Mailing address
1640 BORO PL FL 4, MC LEAN, VA 22102-3627
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73151
VA
Other
Enumeration date
09/14/2020
Last updated
06/26/2024
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