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Individual

RAUL RAHEEM BUDDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3814 12TH ST NE, WASHINGTON, DC 20017-2630
(202) 569-1877
Mailing address
3814 12TH ST NE, WASHINGTON, DC 20017-2630
(202) 569-1877

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/08/2020
Last updated
01/08/2020
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