| The One World Center For Autism, Inc. | |
|
7401 Forbes Blvd Ste A Lanham MD 20706-2288 | |
| (301) 618-8395 | |
| (301) 618-8396 |
| Full Name | The One World Center For Autism, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7401 Forbes Blvd Ste A, Lanham, Maryland |
| Authorized Official Name and Position | Abila Violet Tazanu (PEDIATRICIAN EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3016188395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The One World Center For Autism, Inc. 7401 Forbes Blvd Ste A Lanham MD 20706-2288 Ph: (301) 618-8395 | The One World Center For Autism, Inc. 7401 Forbes Blvd Ste A Lanham MD 20706-2288 Ph: (301) 618-8395 |
| NPI Number | 1003337221 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003337221 | NPI | - | NPPES |
| 80020088 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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