Provider Demographics
NPI:1346950300
Name:OHLINGER, AMY LYNNE (RBT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:LYNNE
Last Name:OHLINGER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LYNNE
Other - Last Name:COSTISICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:38308 COLTS NECK CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:VA
Mailing Address - Zip Code:20132-3750
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:44933 GEORGE WASHINGTON BLVD STE 110
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-6301
Practice Address - Country:US
Practice Address - Phone:571-520-4763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARBT-22-243671106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician