Individual
SORAYA DOS SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4119 ELLIS ST, CAPITOL HEIGHTS, MD 20743-5756
(301) 219-8190
(877) 219-8773
Mailing address
8040 IANS ALY, LAUREL, MD 20724-6133
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-2876
VA
Other
Enumeration date
06/27/2012
Last updated
10/22/2019
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