| NPI | 1598122921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME LYNN LANGDON Assistant 410-714-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2018-05-27 |