| Autism Behavior Connection, Llc | |
|
1043 Orndorff Ct Brunswick MD 21716-1219 | |
| (301) 693-8479 | |
| Not Available |
| Full Name | Autism Behavior Connection, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1043 Orndorff Ct, Brunswick, Maryland |
| Authorized Official Name and Position | Leaora Wagner (OWNER) |
| Authorized Official Contact | 3016938479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Behavior Connection, Llc 1043 Orndorff Ct Brunswick MD 21716-1219 Ph: () - | Autism Behavior Connection, Llc 1043 Orndorff Ct Brunswick MD 21716-1219 Ph: (301) 693-8479 |
| NPI Number | 1013304245 |
|---|---|
| Provider Enumeration Date | 04/26/2015 |
| Last Update Date | 04/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013304245 | NPI | - | NPPES |
| 1-3-14102 | Other | MD | BACB BCBA CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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