| Aba Changes Lives | |
|
10803 Glade Ct New Market MD 21774-6605 | |
| (301) 641-7275 | |
| (866) 298-8206 |
| Full Name | Aba Changes Lives |
|---|---|
| Speciality | Behavior Analyst |
| Location | 10803 Glade Ct, New Market, Maryland |
| Authorized Official Name and Position | Kristen Ann Johnson (BEHAVIOR ANALYST) |
| Authorized Official Contact | 3016417275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Changes Lives 10803 Glade Ct New Market MD 21774-6605 Ph: (301) 641-7275 | Aba Changes Lives 10803 Glade Ct New Market MD 21774-6605 Ph: (301) 641-7275 |
| NPI Number | 1972871952 |
|---|---|
| Provider Enumeration Date | 12/06/2011 |
| Last Update Date | 12/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972871952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-06-3092 (Maryland) | Primary |
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