Autism Specialist
Community/Behavioral Health in Rockville, MD. Organization (NPI-2).
NPI number1346609989
StatusActive
Last updated in NPPESFeb 10, 2016
Details
- NPI
- 1346609989
- Entity type
- Organization (NPI-2)
- Legal business name
- Autism Specialist
- Organization subpart
- No
- Enumeration date
- Feb 10, 2016
- Last updated
- Feb 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
4818 Ertter DrRockville, MD 20852-2202
Phone 321-704-9020
Mailing address
4818 Ertter DrRockville, MD 20852-2202
Phone 321-704-9020
Authorized official
Angela Vance
Bcba
3217049020
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