Individual
AZUCENA MOLLY TAPIA-CRISANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E PRATT ST FL 8, BALTIMORE, MD 21202-3180
(833) 599-2560
Mailing address
1016 KATHRYN RD, SILVER SPRING, MD 20904-2170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1114
MD
Other
Enumeration date
08/29/2018
Last updated
01/13/2025
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