Individual
ARYIELLE FUNDERBURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12103 BRACKENRIDGE CT, WALDORF, MD 20602-3166
(301) 549-0861
Mailing address
12103 BRACKENRIDGE CT, WALDORF, MD 20602-3166
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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