| Eagles Will | |
|
3809 Clarks Ln Ste 100c Baltimore MD 21215-2749 | |
| (917) 648-4292 | |
| Not Available |
| Full Name | Eagles Will |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3809 Clarks Ln Ste 100c, Baltimore, Maryland |
| Authorized Official Name and Position | Michael Fischman (CEO) |
| Authorized Official Contact | 9176484292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagles Will 1413 38th St Brooklyn NY 11218-3613 Ph: (718) 885-8055 | Eagles Will 3809 Clarks Ln Ste 100c Baltimore MD 21215-2749 Ph: (917) 648-4292 |
| NPI Number | 1417721820 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417721820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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