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Susan Ignasiak

Behavior Technician in Frederick, MD. Individual provider (NPI-1).

NPI number1164073300
StatusActive
Last updated in NPPESSep 27, 2019

Details

NPI
1164073300
Entity type
Individual (NPI-1)
Name
Susan Ignasiak
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2019
Last updated
Sep 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

524 Logan St
Frederick, MD 21701-6365

Phone 240-439-1983

Mailing address

524 Logan St
Frederick, MD 21701-6365

Phone 240-439-1983

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