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NPI Code Detail

MEDICARE: ASHLEY CEDERHOLM

MEDICARE: ASHLEY CEDERHOLM
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 Analyst
2222Q00000XDevelopmental Therapist
3103K00000XBehavior Analyst0133002351VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821531799
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY CEDERHOLM
Provider Business Mailing Address
First Line : 6800 PARAGON PL STE 200
Second Line :
City : RICHMOND
State : VA
Zip : 23230-1652
Country : US
Telephone Number : 850-420-1699
Fax Number :
Provider Business Practice Location Address
First Line : 6800 PARAGON PL STE 200
Second Line :
City : RICHMOND
State : VA
Zip : 23230-1652
Country : US
Telephone Number : 804-562-9997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2016
Last Update Date : 04/01/2025

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Directions to “ ASHLEY CEDERHOLM ” Practice Location

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