| Behavioral Health Associates, Llc | |
|
10632 Little Patuxent Pkwy Suite 343 Columbia MD 21044-3273 | |
| (410) 997-7373 | |
| Not Available |
| Full Name | Behavioral Health Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 10632 Little Patuxent Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Dayli N. Marrero (PRESIDENT) |
| Authorized Official Contact | 4109977373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Associates, Llc 10632 Little Patuxent Pkwy Suite 343 Columbia MD 21044-3273 Ph: (410) 997-7373 | Behavioral Health Associates, Llc 10632 Little Patuxent Pkwy Suite 343 Columbia MD 21044-3273 Ph: (410) 997-7373 |
| NPI Number | 1063643898 |
|---|---|
| Provider Enumeration Date | 07/28/2009 |
| Last Update Date | 10/01/2015 |
| Medicare PECOS PAC ID | 2163561093 |
|---|---|
| Medicare Enrollment ID | O20091204000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063643898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 04095 (Maryland) | Primary |
| Provider Name | Dayli N Marrero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811932338 PECOS PAC ID: 8224120829 Enrollment ID: I20080418000365 |
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