Individual
DENISE AMANDA RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 LUNA PARK DR APT 131, ALEXANDRIA, VA 22305-3152
(915) 252-0458
Mailing address
100 LUNA PARK DR APT 131, ALEXANDRIA, VA 22305-3152
(915) 252-0458
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2018
Last updated
08/05/2018
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