Individual
KATRINA NICOLE HABANA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 SHAWNEE RD, ALEXANDRIA, VA 22312-2300
(855) 345-2273
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
V420461298313
MD
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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