Individual
ALEXANDRA MEDVEDEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 POWDER MILL RD STE 250, BELTSVILLE, MD 20705-2688
(301) 477-7194
Mailing address
4600 POWDER MILL RD STE 250, BELTSVILLE, MD 20705-2688
(301) 477-7194
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MD
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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