Individual
CARLO DELA PAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4485 FORBES BLVD, LANHAM, MD 20706-4354
(301) 429-2900
Mailing address
4485 FORBES BLVD, LANHAM, MD 20706-4354
(301) 429-2900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-281568
CO
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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