Azaria Bermudez
Behavior Analyst in Laurel, MD. Individual provider (NPI-1).
NPI number1225541709
StatusActive
Last updated in NPPESNov 7, 2017
Details
- NPI
- 1225541709
- Entity type
- Individual (NPI-1)
- Name
- Azaria Bermudez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2017
- Last updated
- Nov 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
312 Marshall Ave Ste 102Laurel, MD 20707-4840
Phone 240-319-1874
Mailing address
312 Marshall Ave Ste 102Laurel, MD 20707-4840
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