Grease Jennyfer Carhuaz
Behavior Technician in Columbia, MD. Individual provider (NPI-1).
NPI number1962255331
StatusActive
Last updated in NPPESApr 8, 2024
Details
- NPI
- 1962255331
- Entity type
- Individual (NPI-1)
- Name
- Grease Jennyfer Carhuaz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 8, 2024
- Certification date
- Apr 7, 2024
- Last updated
- Apr 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
8558 Black Star CirColumbia, MD 21045-2649
Phone 240-374-3368
Mailing address
8558 Black Star CirColumbia, MD 21045-2649
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