| Playful Peaks, Aba | |
|
6135 Rainbow Dr Elkridge MD 21075-5544 | |
| (856) 993-1726 | |
| Not Available |
| Full Name | Playful Peaks, Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6135 Rainbow Dr, Elkridge, Maryland |
| Authorized Official Name and Position | Kirstie Michelle Smith (OWNER) |
| Authorized Official Contact | 8569931726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Playful Peaks, Aba 6135 Rainbow Dr Elkridge MD 21075-5544 Ph: () - | Playful Peaks, Aba 6135 Rainbow Dr Elkridge MD 21075-5544 Ph: (856) 993-1726 |
| NPI Number | 1023850815 |
|---|---|
| Provider Enumeration Date | 06/11/2024 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023850815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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