| Amigo Care Aba Llc | |
|
8558 Black Star Cir Columbia MD 21045-2649 | |
| (240) 374-3368 | |
| Not Available |
| Full Name | Amigo Care Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8558 Black Star Cir, Columbia, Maryland |
| Authorized Official Name and Position | Alexander Arevalo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2403743368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amigo Care Aba Llc 8558 Black Star Cir Columbia MD 21045-2649 Ph: (240) 374-3368 | Amigo Care Aba Llc 8558 Black Star Cir Columbia MD 21045-2649 Ph: (240) 374-3368 |
| NPI Number | 1134895485 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 09/29/2021 |
| Certification Date | 09/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134895485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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