Individual
ABBY PUCHAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6216 LINCOLN AVE, BALTIMORE, MD 21209-3325
(901) 530-4499
Mailing address
6216 LINCOLN AVE, BALTIMORE, MD 21209-3325
(901) 530-4499
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
P-210-029-009-863
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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