Individual
ALICIA VENABLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 SPECTRUM DR, FREDERICK, MD 21703-7362
(301) 337-8833
Mailing address
19104 BROOKE GROVE CT, MONTGOMERY VILLAGE, MD 20886-5164
(240) 644-4478
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
04/11/2024
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