Individual
FERNANDA JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, M.S, BCBA, LCPC
Contact information
Practice address
405 KERSTEN ST, GAITHERSBURG, MD 20878-6514
(202) 330-7780
(301) 917-3421
Mailing address
405 KERSTEN ST, GAITHERSBURG, MD 20878-6514
(202) 330-7780
(301) 263-7493
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3662
MD
103K00000X
Behavior Analyst
1095100
MD
Other
Enumeration date
06/22/2009
Last updated
06/25/2014
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