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Individual

WENDY YAMILETH MOREIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3814 12TH ST NE, WASHINGTON, DC 20017-2630
(202) 656-9059
Mailing address
BASICS LLC THERAPY, 3814 12 ST NE, WASHINGTON, DC 20017-2630
(202) 656-9059

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3313008
DRIVERS LICENSE
Enumeration date
04/19/2018
Last updated
04/19/2018
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Product
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  • EDI platform