Individual
JANNETTE DE LA CARIDAD PUISSEAUX BASSAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, BCBA
Contact information
Practice address
119 S WOLFE ST, APT 4, BALTIMORE, MD 21231-1960
(301) 910-1299
Mailing address
119 S WOLFE ST, APT 4, BALTIMORE, MD 21231-1960
(301) 910-1299
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-17987
MD
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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