| Snowflakes Aba, Llc | |
|
10015 Old Columbia Rd Ste B215 Columbia MD 21046-1865 | |
| (443) 766-9422 | |
| (443) 687-8696 |
| Full Name | Snowflakes Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10015 Old Columbia Rd Ste B215, Columbia, Maryland |
| Authorized Official Name and Position | Jay Subramaniam (OWNER) |
| Authorized Official Contact | 4432522552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Snowflakes Aba, Llc 10015 Old Columbia Rd Ste B215 Columbia MD 21046-1865 Ph: (443) 252-2552 | Snowflakes Aba, Llc 10015 Old Columbia Rd Ste B215 Columbia MD 21046-1865 Ph: (443) 766-9422 |
| NPI Number | 1932658721 |
|---|---|
| Provider Enumeration Date | 09/22/2016 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932658721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | LBA009 (Maryland) | Primary |
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