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Individual

ADRIAN VALDIVIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8609 2ND AVE STE 506B, SILVER SPRING, MD 20910-3362
(240) 398-3514
Mailing address
532 ONEIDA PL NW, WASHINGTON, DC 20011-2039
(571) 213-9109

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NA
DC
Enumeration date
05/16/2019
Last updated
05/16/2019
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