Autastic Aba Therapy
Speech-Language Pathologist, in Bowie, MD. Organization (NPI-2).
NPI number1245085166
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1245085166
- Entity type
- Organization (NPI-2)
- Legal business name
- Autastic Aba Therapy
- Organization subpart
- Yes
- Enumeration date
- Apr 23, 2024
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Other names
- Autastic Speech Therapy (Doing Business As)
Practice location
6911 Laurel Bowie Rd Ste 309Bowie, MD 20715-1712
Phone 301-755-4021 · Fax 800-858-5250
Mailing address
6911 Laurel Bowie Rd Ste 309Bowie, MD 20715-1712
Phone 301-755-4021 · Fax 800-858-5250
Authorized official
Tamara Parker
Administration
3017554021
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