| An Incredible Me Aba Md Llc | |
|
6865 Deerpath Rd Ste 101 Elkridge MD 21075-6255 | |
| (410) 220-0025 | |
| Not Available |
| Full Name | An Incredible Me Aba Md Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6865 Deerpath Rd Ste 101, Elkridge, Maryland |
| Authorized Official Name and Position | Moshe Krupenia (CEO) |
| Authorized Official Contact | 9193354463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| An Incredible Me Aba Md Llc 33 Wood Ave S Ste 600 Iselin NJ 08830-2717 Ph: () - | An Incredible Me Aba Md Llc 6865 Deerpath Rd Ste 101 Elkridge MD 21075-6255 Ph: (410) 220-0025 |
| NPI Number | 1114739224 |
|---|---|
| Provider Enumeration Date | 01/24/2025 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114739224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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