Individual
MIRABEL AKONAKA ABANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 63RD ST NE, WASHINGTON, DC 20019-7911
(202) 839-2130
Mailing address
203 63RD ST NE, WASHINGTON, DC 20019-7911
(202) 839-2130
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/20/2023
Last updated
01/04/2024
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