| Specialized Aba Services Llc | |
|
1122 Harford Town Dr Abingdon MD 21009 | |
| (443) 857-6384 | |
| Not Available |
| Full Name | Specialized Aba Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1122 Harford Town Dr, Abingdon, Maryland |
| Authorized Official Name and Position | Audrey Wanga (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4438576384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Aba Services Llc 4132 E Joppa Rd Ste 110 Baltimore MD 21236-2272 Ph: (443) 857-6384 | Specialized Aba Services Llc 1122 Harford Town Dr Abingdon MD 21009 Ph: (443) 857-6384 |
| NPI Number | 1194553461 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 07/26/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194553461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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