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NPI Code Detail

MEDICARE: ASHLEY STONEMETZ-WALDING M.S.ED., BCBA

MEDICARE: ASHLEY STONEMETZ-WALDING M.S.ED., BCBA
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
1103K00000XBehavior Analyst0133000244VA

General Provider Information

NPI Number : 1770994725
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY STONEMETZ-WALDING M.S.ED., BCBA
Provider Business Mailing Address
First Line : 21 OAK GROVE RD
Second Line :
City : PALMYRA
State : VA
Zip : 22963-2527
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3500 REMSON CT
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-3508
Country : US
Telephone Number : 434-923-8252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2014
Last Update Date : 05/13/2014

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