Provider Demographics
NPI:1720539935
Name:VOLK, ASHLEY (BCABA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:VOLK
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 ROMONA CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-8744
Mailing Address - Country:US
Mailing Address - Phone:434-841-2896
Mailing Address - Fax:
Practice Address - Street 1:10200 NI RIVER DR
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-3741
Practice Address - Country:US
Practice Address - Phone:540-693-0830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0134000165106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst