IndividualActive
Ashley Clark, RBT
NPI 1003577040 · Behavior Technician · Dumfries, VA
Provider details
- NPI number
- 1003577040
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
17932 Fraley Blvd Ste 205
Dumfries, VA 22026-2456
Phone: (703) 229-4216
Approximate (ZIP-level) locationGet directions
Mailing address
17932 Fraley Blvd Ste 205
Dumfries, VA 22026-2456
Registry dates
- Enumerated
- 2022-01-03
- Last updated
- 2022-01-03
- Certified
- 2022-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.