| Premier Behavioral Health, Llc | |
|
3107 Cabin Run Woodbine MD 21797-7933 | |
| (760) 809-7804 | |
| Not Available |
| Full Name | Premier Behavioral Health, Llc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 3107 Cabin Run, Woodbine, Maryland |
| Authorized Official Name and Position | Breonna Mabry (FOUNDER) |
| Authorized Official Contact | 7608097804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Behavioral Health, Llc 3107 Cabin Run Woodbine MD 21797-7933 Ph: (760) 809-7804 | Premier Behavioral Health, Llc 3107 Cabin Run Woodbine MD 21797-7933 Ph: (760) 809-7804 |
| NPI Number | 1972258952 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972258952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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