| Mission Autism Clinics Llc | |
|
11921 Bournefield Way Ste A Silver Spring MD 20904-7815 | |
| (888) 726-4774 | |
| (570) 362-5112 |
| Full Name | Mission Autism Clinics Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11921 Bournefield Way Ste A, Silver Spring, Maryland |
| Authorized Official Name and Position | Paul Brandon Deangelo (CEO) |
| Authorized Official Contact | 5704016409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Autism Clinics Llc 9 Banks Ave Mcadoo PA 18237-2508 Ph: (570) 459-2889 | Mission Autism Clinics Llc 11921 Bournefield Way Ste A Silver Spring MD 20904-7815 Ph: (888) 726-4774 |
| NPI Number | 1538790720 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538790720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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