Individual
CARLA MELISSA MALDONADO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5400 SHAWNEE RD, STE 208, ALEXANDRIA, VA 22312-2300
(703) 750-0633
Mailing address
PO BOX 1901, WOODBRIDGE, VA 22195-1901
(787) 987-4211
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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