Individual
MRS. MARIE ANGELIQUE EUGENIE BASAURI FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
VA
Contact information
Practice address
10565 FAIRFAX BLVD STE 300, FAIRFAX, VA 22030-3104
(703) 218-6599
Mailing address
7014 BEECHWOOD DR, CHEVY CHASE, MD 20815-5176
(571) 474-5961
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002574
VA
Other
Enumeration date
07/18/2023
Last updated
08/25/2025
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