Organization
WELLNESS WAVE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAFAYAT OLABISI BELLO-OGUNDIPE (ACCESS MANAGER)
(571) 232-9182
Entity
Organization
Contact information
Practice address
1935 W PRATT ST FL 2, BALTIMORE, MD 21223-2251
(301) 820-5593
Mailing address
1935 W PRATT ST FL 2, BALTIMORE, MD 21223-2251
(301) 820-5593
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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