NPI | 1720524598 |
---|---|
Entity Type | Organization |
Authorized Contact | QUINTINA MARIA BRISCOE Speech Language Pathologist/ Owner 301-885-0033 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000879) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106E00000X Assistant Behavior Analyst | |
235Z00000X Speech-Language Pathologist, (Licence: MD 08341) | |
251S00000X Community/Behavioral Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2017-01-17 |
Last Update Date | 2022-09-01 |