Individual
DIAMOND PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3814 12TH ST NE, WASHINGTON, DC 20017-2630
(202) 656-9059
Mailing address
3814 12TH ST NE, WASHINGTON, DC 20017-2630
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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