Individual
ALIAH MOET PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9030 RED BRANCH RD STE 100, COLUMBIA, MD 21045-2003
(443) 863-6993
Mailing address
3378 METROPOLITAN CHURCH RD, INDIAN HEAD, MD 20640-3215
(240) 721-0700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
10272043536
MD
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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