Individual
MISS EMILIA IRENE FORMOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.C.B.A.
Contact information
Practice address
829 QUINCY ST NW, #114, WASHINGTON, DC 20011-5845
(703) 929-8576
Mailing address
829 QUINCY ST NW, #114, WASHINGTON, DC 20011-5845
(703) 929-8576
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7780
VA
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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