Provider / Organization | NPI | Date Certified |
---|---|---|
CARONLAYN VILLAFANA POLANCO | 1174300511 | 2023-09-11 |
Caronlayn Villafana Polanco is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174300511. Registration indicates Caronlayn Villafana Polanco is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Caronlayn Villafana Polanco |
Practice Office Address | 2000 TOWER OAKS BLVD STE 500 ROCKVILLE, MD US |
Practice Office Telephone | 3014445001 |
Mailing Address | 2000 TOWER OAKS BLVD STE 500 ROCKVILLE, MD 208524377 US |
Business Telephone | 3014445001 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |