| The House Project | |
|
5570 Sterrett Pl Columbia MD 21044-2641 | |
| (301) 615-1007 | |
| Not Available |
| Full Name | The House Project |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5570 Sterrett Pl, Columbia, Maryland |
| Authorized Official Name and Position | Stephanie Jean (CLINICAL PROVIDER) |
| Authorized Official Contact | 3018256265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The House Project 1314 Glyndon Ave Baltimore MD 21223-3613 Ph: () - | The House Project 5570 Sterrett Pl Columbia MD 21044-2641 Ph: (301) 615-1007 |
| NPI Number | 1366058083 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366058083 | NPI | - | NPPES |
| 1-19-36416 | Other | MD | BLUE CROSS |
| 1-19-36416 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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