Provider Demographics
NPI:1356052229
Name:FIGUEROA, ANDRICK J
Entity type:Individual
Prefix:
First Name:ANDRICK
Middle Name:J
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 FOX MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:LOVETTSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20180-8527
Mailing Address - Country:US
Mailing Address - Phone:240-585-0213
Mailing Address - Fax:
Practice Address - Street 1:43490 YUKON DR STE 104
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7302
Practice Address - Country:US
Practice Address - Phone:703-936-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician