Personalized Therapy, LLC
Behavior Analyst in California, MD. Organization (NPI-2).
NPI number1174005698
StatusActive
Last updated in NPPESAug 31, 2018
Details
- NPI
- 1174005698
- Entity type
- Organization (NPI-2)
- Legal business name
- Personalized Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2018
- Last updated
- Aug 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – |
Practice location
22593 Three Notch RdCalifornia, MD 20619-3054
Phone 301-862-2505 · Fax 301-862-2548
Mailing address
22593 Three Notch RdCalifornia, MD 20619-3054
Phone 301-862-2505 · Fax 301-862-2548
Authorized official
Kristi Getson
Chief Operating Officer
3018622505
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