Provider Demographics
NPI:1912523747
Name:WEDDLE, ARIEL NICKOLE (BCABA)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:NICKOLE
Last Name:WEDDLE
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:ARIEL
Other - Middle Name:NICKOLE
Other - Last Name:YANDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1525 TECHNOLOGY DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-5974
Mailing Address - Country:US
Mailing Address - Phone:757-609-2795
Mailing Address - Fax:866-576-0956
Practice Address - Street 1:1525 TECHNOLOGY DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-5974
Practice Address - Country:US
Practice Address - Phone:757-609-2795
Practice Address - Fax:866-576-0956
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst