Lucy-Stella Chongo
Behavior Technician in Windsor Mill, MD. Individual provider (NPI-1).
NPI number1609592807
StatusActive
Last updated in NPPESOct 18, 2022
Details
- NPI
- 1609592807
- Entity type
- Individual (NPI-1)
- Name
- Lucy-Stella Chongo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2022
- Certification date
- Oct 18, 2022
- Last updated
- Oct 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7001 Johnnycake Rd Ste 106Windsor Mill, MD 21244-2419
Phone 410-656-6837
Mailing address
7001 Johnnycake Rd Ste 106Windsor Mill, MD 21244-2419
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