Nicole Patricia Andrewes

Individual provider Active NPI Behavior Technician · Ashburn, VA

NPI 1336729524 · NPPES record last updated Apr 12, 2021

Key facts

NPI
1336729524
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
44933 George Washington Blvd Ste 110&115
Ashburn, VA 20147-6300
Phone
(844) 244-1818
NPI assigned
Apr 12, 2021
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

44933 George Washington Blvd Ste 110&115
Ashburn, VA 20147-6300

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (305) 846-9807

Other names

  • Ms. Nicole Patricia Roth Former name

Other providers in Ashburn, VA

All providers in Ashburn, VA · Behavior Technician in Virginia

Sources for this page

Verify at the official NPI Registry.