Columbia Advanced Science, Lc | |
9804 Madelaine Ct Ellicott City MD 21042-4918 | |
(410) 979-7999 | |
(410) 480-8281 |
Full Name | Columbia Advanced Science, Lc |
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Speciality | Behavior Analyst |
Location | 9804 Madelaine Ct, Ellicott City, Maryland |
Authorized Official Name and Position | Xiaoli Wen (PRESIDENT) |
Authorized Official Contact | 4109797999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Columbia Advanced Science, Lc 9804 Madelaine Ct Ellicott City MD 21042-4918 Ph: (410) 979-7999 | Columbia Advanced Science, Lc 9804 Madelaine Ct Ellicott City MD 21042-4918 Ph: (410) 979-7999 |
NPI Number | 1124323506 |
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Provider Enumeration Date | 01/17/2011 |
Last Update Date | 01/17/2011 |
Identifier | Type | State | Issuer |
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1124323506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-05-2471 (Florida) | Primary |
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