Provider Demographics
NPI:1942752449
Name:DICARLO, ASHLEY NICOLE (BCBA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICOLE
Last Name:DICARLO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:SHAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:7577 CHRISLAND CV
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-7564
Mailing Address - Country:US
Mailing Address - Phone:240-925-7223
Mailing Address - Fax:
Practice Address - Street 1:88 N BEDFORD ST
Practice Address - Street 2:A
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-1137
Practice Address - Country:US
Practice Address - Phone:240-925-7223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-31
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst