Ashley Nicole Anderson, RBT
Individual provider Active NPI Behavior Technician · MC Lean, VA
NPI 1144725342 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1144725342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-16-18254 (MD)
- Practice address
- 1651 Old Meadow Rd
MC Lean, VA 22102-4311 - Phone
- (800) 828-5659
- NPI assigned
- Mar 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-18254 | MD | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-16-18254 | MD | Yes |
Addresses
Primary practice location
1651 Old Meadow Rd
MC Lean, VA 22102-4311
Mailing address
2807 Crestwick PL
District Heights, MD 20747-2780
Phone (240) 355-6635
Other providers in MC Lean, VA
- Christine Fay Amorosi
- Nour El Houda Amri
- David Insoo An
- Matthew Anastasia
- Rachel Susanne Anderson-Ridenour
- Erica Dawn Anderson
- Jacqueline Anderson
- Kristen Anderson
- Lova Shirin Andersson
- Nicholas Andrews-Walker
All providers in MC Lean, VA · Behavior Technician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.