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1134679004
MAXWELL KENNEY-LAZAR
COLUMBIA, MD
NPI
1134679004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MD LBA257)
Enumeration Date
2016-10-04
Last Update Date
2016-12-14
Business Address
Mr. MAXWELL KENNEY-LAZAR BCBA, LBA
7175 COLUMBIA GATEWAY DR
COLUMBIA, MD 21046-2534
Phone number: 603-986-9991
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Mailing Address
Mr. MAXWELL KENNEY-LAZAR BCBA, LBA
5004 HONEYGO CENTER DR STE 102
PERRY HALL, MD 21128-8963
Phone number: 603-986-9991
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