Individual
LLENY SANTOS RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5595 MALONE RIDGE ST UNIT 6204, ALEXANDRIA, VA 22312-4057
(240) 701-1213
Mailing address
5595 MALONE RIDGE ST UNIT 6204, ALEXANDRIA, VA 22312-4057
(240) 701-1213
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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