Individual
LUDMILA COSTENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18218 FOX CHASE CIR, OLNEY, MD 20832
(301) 433-2245
Mailing address
18218 FOX CHASE CIR, OLNEY, MD 20832-3003
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA698
MD
Other
Enumeration date
07/02/2018
Last updated
11/04/2021
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