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NPI Code Detail

MEDICARE: AVA ISABELLA FERRER

MEDICARE: AVA ISABELLA FERRER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1639029911
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVA ISABELLA FERRER
Provider Business Mailing Address
First Line : 2920 W BROAD ST STE 215
Second Line :
City : RICHMOND
State : VA
Zip : 23230-5103
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2920 W BROAD ST # 215
Second Line :
City : RICHMOND
State : VA
Zip : 23230-5103
Country : US
Telephone Number : 804-988-1150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “ AVA ISABELLA FERRER ” Practice Location

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