| Platinum Therapeutics | |
|
2412 Comptrollers Ct Prince Frederick MD 20678-4340 | |
| (913) 522-7159 | |
| Not Available |
| Full Name | Platinum Therapeutics |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2412 Comptrollers Ct, Prince Frederick, Maryland |
| Authorized Official Name and Position | Teresa Gingras (CEO) |
| Authorized Official Contact | 9135227159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Therapeutics 2412 Comptrollers Ct Prince Frederick MD 20678-4340 Ph: () - | Platinum Therapeutics 2412 Comptrollers Ct Prince Frederick MD 20678-4340 Ph: (913) 522-7159 |
| NPI Number | 1477293900 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477293900 | NPI | - | NPPES |
| 1679039598 | Other | MD | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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