Individual
LAKIRA FORTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3814 12TH ST NE, WASHINGTON, DC 20017-2630
(202) 569-3526
Mailing address
3819 JAY ST NE APT 1, WASHINGTON, DC 20019-1854
(202) 897-7800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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