Clover Behavior Consulting
Behavior Analyst in Rockville, MD. Organization (NPI-2).
NPI number1043737893
StatusActive
Last updated in NPPESAug 23, 2017
Details
- NPI
- 1043737893
- Entity type
- Organization (NPI-2)
- Legal business name
- Clover Behavior Consulting
- Organization subpart
- No
- Enumeration date
- Aug 23, 2017
- Last updated
- Aug 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1118537 | MD | Yes |
| 106S00000X | Behavior Technician | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
402 King Farm BlvdRockville, MD 20850
Phone 240-304-6604
Mailing address
402 King Farm BlvdRockville, MD 20850-5843
Authorized official
Colleen Williams
Executive Director
2403046604
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