NPI 1003247164

Stacy Ulrich

Practitioner Behavior Analyst Mc Lean, VA

Practice location

Address: 1651 Old Meadow Rd, Mc Lean, VA 22102-4311
Phone: (703) 506-0123
Fax: (866) 857-0246
Mailing address: 2257 Cedar Ln, Vienna, VA 22182-5242

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 0133000323 (VA)

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Registry record

NPI: 1003247164
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Nov 2013
Record last updated: 27 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.