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Individual

KARISSA ARIANNA CUEVAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
5350 SUMMIT BRIDGE RD, MIDDLETOWN, DE 19709-4801
(718) 704-6853
Mailing address
39 GRISSOM DR, BEAR, DE 19701-6844
(718) 704-6853

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72232

Other

Enumeration date
06/04/2024
Last updated
06/04/2024
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