Organization · NPI-2

Autastic Aba Therapy

Community/Behavioral Health · Bowie, MD

NPI number1356948004
StatusActive
Last updated in NPPESJan 3, 2022

Details

NPI
1356948004
Entity type
Organization (NPI-2)
Legal business name
Autastic Aba Therapy
Organization subpart
No
Enumeration date
Oct 6, 2020
Certification date
Jan 3, 2022
Last updated
Jan 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
252Y00000X Early Intervention Provider Agency––

Practice location

6911 Laurel Bowie Rd Ste 309
Bowie, MD 20715-1712

Phone 301-755-4021

Mailing address

6911 Laurel Bowie Rd Ste 309
Bowie, MD 20715-1712

Phone 301-755-4021

Authorized official

Tamara A Parker
Bcba, Lba
2024259513

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