Most Relevant Information
Provider Data
| NPI Number: | 1003247164 |
| Provider Name: | STACY ULRICH |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 0133000323 |
Most Important Dates
| Enumeration Date: | 11/27/2013 |
| Last Updated: | 11/27/2013 |
Provider Practice Location
1651 OLD MEADOW RD
MC LEAN
VA
221024311
Practice Location Phone/Fax
| Phone: | 7035060123 |
| Fax: | 8668570246 |
Provider Mailing Location
2257 CEDAR LN
VIENNA
VA
221825242
Provider Mailing Phone/Fax
| Phone: | 4122156166 |
| Fax: |