Debra Marie Wooldridge
Individual provider Active NPI Behavior Technician · Fairfield, VA
NPI 1609370600 · NPPES record last updated Mar 23, 2018
Key facts
- NPI
- 1609370600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1200 Sterrett Rd
Fairfield, VA 24435-2629 - Phone
- (540) 960-3175
- NPI assigned
- Mar 23, 2018
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1200 Sterrett Rd
Fairfield, VA 24435-2629
Mailing address
1200 Sterrett Rd
Fairfield, VA 24435-2629
Other names
- Debra Marie Covington
Other providers in Fairfield, VA
All providers in Fairfield, 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 23, 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.