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Prince A Adibe

Behavior Technician in Laurel, MD. Individual provider (NPI-1).

NPI number1659975688
StatusActive
Last updated in NPPESNov 30, 2020

Details

NPI
1659975688
Entity type
Individual (NPI-1)
Name
Prince A Adibe
Sex
Male
Sole proprietor
No
Enumeration date
Nov 30, 2020
Certification date
Nov 30, 2020
Last updated
Nov 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

275 Red Clay Rd Apt 303
Laurel, MD 20724-2369

Phone 202-790-8903 · Fax 301-889-9735

Mailing address

275 Red Clay Rd Apt 303
Laurel, MD 20724-2369

Phone 202-790-8903 · Fax 301-889-9735

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