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Individual

CHELSEA POTARAZU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
510 MCCORMICK DR STE U-V, GLEN BURNIE, MD 21061-3283
(410) 595-5870
Mailing address
PO BOX 83335, GAITHERSBURG, MD 20883-3335
(410) 940-9392

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133001541
VA
103K00000X
Behavior Analyst
Primary
LBA741
MD
106E00000X
Assistant Behavior Analyst

Other

Enumeration date
07/12/2017
Last updated
07/19/2021
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