| Ethos Behavior Consulting Llc | |
|
4210 Mockingbird Cir Waldorf MD 20603-4632 | |
| (202) 868-3693 | |
| Not Available |
| Full Name | Ethos Behavior Consulting Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4210 Mockingbird Cir, Waldorf, Maryland |
| Authorized Official Name and Position | Melissa Danielle Bruce (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2028683693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos Behavior Consulting Llc 4210 Mockingbird Cir Waldorf MD 20603-4632 Ph: (202) 868-3693 | Ethos Behavior Consulting Llc 4210 Mockingbird Cir Waldorf MD 20603-4632 Ph: (202) 868-3693 |
| NPI Number | 1407506884 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 03/28/2022 |
| Certification Date | 03/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407506884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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