| Expectations Reimagined Llc | |
|
260 Baskerville Ct Severna Park MD 21146-2125 | |
| (410) 271-0056 | |
| Not Available |
| Full Name | Expectations Reimagined Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 260 Baskerville Ct, Severna Park, Maryland |
| Authorized Official Name and Position | Patricia Fare (OWNER) |
| Authorized Official Contact | 4102710056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Expectations Reimagined Llc 260 Baskerville Ct Severna Park MD 21146-2125 Ph: (410) 271-0056 | Expectations Reimagined Llc 260 Baskerville Ct Severna Park MD 21146-2125 Ph: (410) 271-0056 |
| NPI Number | 1609591379 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609591379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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