Provider Demographics
NPI:1770994725
Name:STONEMETZ-WALDING, ASHLEY (MSED, BCBA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:STONEMETZ-WALDING
Suffix:
Gender:F
Credentials:MSED, BCBA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:MACKALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED, BCBA
Mailing Address - Street 1:21 OAK GROVE RD
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:VA
Mailing Address - Zip Code:22963-2527
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3500 REMSON CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-3508
Practice Address - Country:US
Practice Address - Phone:434-923-8252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000244103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst