Individual
MRS. LETICIA LORRAINE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA.ED., BCBA
Contact information
Practice address
8128 MANDAN TER, GREENBELT, MD 20770-2638
(914) 494-3187
Mailing address
8128 MANDAN TER, GREENBELT, MD 20770-2638
(914) 494-3187
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
174400000X
Specialist
646528121
NY
Other
Enumeration date
08/13/2012
Last updated
05/12/2017
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