Individual
YAMINELLIE PABON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3555 PROMENADE PL APT 225, WALDORF, MD 20603-7234
(321) 594-3789
Mailing address
3555 PROMENADE PL APT 225, WALDORF, MD 20603-7234
(321) 594-3789
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
01/28/2024
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