Individual
ASHLEY LACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10565 FAIRFAX BLVD STE 300, FAIRFAX, VA 22030-3104
(703) 218-6599
(000) 000-0000
Mailing address
10565 FAIRFAX BLVD STE 300, FAIRFAX, VA 22030-3104
(703) 218-6599
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
MI
106S00000X
Behavior Technician
Primary
25-441703
VA
Other
Enumeration date
06/21/2019
Last updated
07/18/2025
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