Healthcare Provider Details

I. General information

NPI: 1437073525
Provider Name (Legal Business Name): ASHLEIGH MICHELLE SHELTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 WALPOLE ST STE 207
STAFFORD VA
22554-6546
US

IV. Provider business mailing address

1300 WILLOW LN APT 105
FREDERICKSBURG VA
22401-8900
US

V. Phone/Fax

Practice location:
  • Phone: 540-383-7133
  • Fax:
Mailing address:
  • Phone: 540-840-2202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: