| NPI | 1003337221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABILA VIOLET TAZANU Pediatrician Executive Director 301-618-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2019-07-02 |