Behavior Change Incorporated

NPI 1073751293 - Point of Service - 305S00000X

NPI Details
NPI 1073751293
Enumeration Date 01/26/2009
Last Updated 01/26/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SAMANTHA SAMANTHA
Position CERTIFIED BEHAVIOR ANALYST
Phone (804) 519-1360
Fax
Practice Location
2126 E BALTIMORE ST
BALTIMORE MD, 21231-2041, US
Phone (804) 519-1360
Fax
Business Location
2126 E BALTIMORE ST
BALTIMORE MD, 21231-2041, US
Phone (804) 519-1360
Fax
Toxanomy
Taxonomy Code 305S00000X
License State
License Number 1062931
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According to our database, Behavior Change Incorporated NPI is 1073751293, taxonomy code is 305S00000X and license number is 1062931, license state is located at . Behavior Change Incorporated physically located at 2126 E Baltimore St, Baltimore MD, 21231-2041. NPI Number 1033115704 has the healthcare provider type.

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1073751293 NPI number is provided on an as is basis without warranty of any kind. 1073751293 is maintained by the National Plan & Provider Enumeration System. The contents of Behavior Change Incorporated are for informational purposes only.