NPI 1003577040

Ashley Clark, RBT

Practitioner Behavior Technician Dumfries, VA

Practice location

Address: 17932 Fraley Blvd STE 205, Dumfries, VA 22026-2456
Phone: (703) 229-4216

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003577040
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2022
Record last updated: 3 Jan 2022

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.