Organization · NPI-2

Ethos Behavior Consulting LLC

Behavior Analyst · Waldorf, MD

NPI number1407506884
StatusActive
Last updated in NPPESMar 28, 2022

Details

NPI
1407506884
Entity type
Organization (NPI-2)
Legal business name
Ethos Behavior Consulting LLC
Organization subpart
No
Enumeration date
Mar 28, 2022
Certification date
Mar 28, 2022
Last updated
Mar 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
106S00000X Behavior Technician––

Practice location

4210 Mockingbird Cir
Waldorf, MD 20603-4632

Phone 202-868-3693

Mailing address

4210 Mockingbird Cir
Waldorf, MD 20603-4632

Phone 202-868-3693

Authorized official

Melissa Danielle Bruce
Clinical Director
2028683693

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