Individual
MISS ANSERIDA BEENUNULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 1ST ST SE, WASHINGTON, DC 20003-1804
(202) 470-4185
Mailing address
2251 SHERMAN AVE NW, WASHINGTON, DC 20001-4003
(540) 805-0376
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-458886
VA
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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