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Purple Heart Autism Therapy

Assistant Behavior Analyst in Baltimore, MD. Organization (NPI-2).

NPI number1144975889
StatusActive
Last updated in NPPESFeb 21, 2022

Details

NPI
1144975889
Entity type
Organization (NPI-2)
Legal business name
Purple Heart Autism Therapy
Organization subpart
No
Enumeration date
Feb 21, 2022
Certification date
Feb 21, 2022
Last updated
Feb 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106E00000X Assistant Behavior Analyst––Yes

Practice location

5404 Catalpha Rd
Baltimore, MD 21214-1925

Phone 443-744-5368

Mailing address

5404 Catalpha Rd
Baltimore, MD 21214-1925

Phone 443-744-5368

Authorized official

Irisha Lucas
Owner
4437445368

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