| Autism Family Support Services | |
|
25 Primrose Ct Parkville MD 21234-3366 | |
| (410) 808-6561 | |
| (410) 869-2293 |
| Full Name | Autism Family Support Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 25 Primrose Ct, Parkville, Maryland |
| Authorized Official Name and Position | Frederick Wayne Hoots (DIRECTOR OF BEHAVIORAL SERVICES) |
| Authorized Official Contact | 4108086561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Family Support Services 25 Primrose Ct Parkville MD 21234-3366 Ph: (410) 808-6561 | Autism Family Support Services 25 Primrose Ct Parkville MD 21234-3366 Ph: (410) 808-6561 |
| NPI Number | 1598037160 |
|---|---|
| Provider Enumeration Date | 01/30/2012 |
| Last Update Date | 01/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598037160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-09-6427 (Maryland) | Primary |
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