| Breyta Behavioral Health Llc | |
|
1515 Rising Ridge Rd Mount Airy MD 21771-5383 | |
| (309) 530-0933 | |
| Not Available |
| Full Name | Breyta Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1515 Rising Ridge Rd, Mount Airy, Maryland |
| Authorized Official Name and Position | Nicholas Anson (ADMINISTRATOR) |
| Authorized Official Contact | 3095300933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breyta Behavioral Health Llc 505 Windy Knoll Dr Unit 323 Mount Airy MD 21771-6614 Ph: (203) 895-8335 | Breyta Behavioral Health Llc 1515 Rising Ridge Rd Mount Airy MD 21771-5383 Ph: (309) 530-0933 |
| NPI Number | 1518677046 |
|---|---|
| Provider Enumeration Date | 11/23/2022 |
| Last Update Date | 12/03/2022 |
| Certification Date | 12/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518677046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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