Individual
MIRANDA LILY GALAYDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 1/2 SEWARD SQ SE, WASHINGTON, DC 20003-1113
(443) 690-5857
Mailing address
403 1/2 SEWARD SQ SE, WASHINGTON, DC 20003-1113
(443) 690-5857
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT21195995
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
01/12/2022
Last updated
01/12/2022
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