Most Relevant Information
Provider Data
| NPI Number: | 1003563594 |
| Provider Name: | WALESKA A CARCUZ LAFUENTE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/04/2022 |
| Last Updated: | 03/04/2022 |
Provider Practice Location
1651 OLD MEADOW RD
MC LEAN
VA
221024311
Practice Location Phone/Fax
| Phone: | 7035060123 |
| Fax: |
Provider Mailing Location
511 WHITE SURF DR
GAITHERSBURG
MD
208782938
Provider Mailing Phone/Fax
| Phone: | 3018739620 |
| Fax: |