Individual
CHANELL HEDGEPETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7613 STANDISH PL, ROCKVILLE, MD 20855-2702
(301) 786-5644
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/26/2021
Last updated
12/26/2021
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