| Avance Behavioral Advantage Llc | |
|
8040 Ians Aly Laurel MD 20724-6133 | |
| (301) 237-9694 | |
| Not Available |
| Full Name | Avance Behavioral Advantage Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8040 Ians Aly, Laurel, Maryland |
| Authorized Official Name and Position | Soraya Dos Santos (OWNER) |
| Authorized Official Contact | 3012379694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avance Behavioral Advantage Llc 8040 Ians Aly Laurel MD 20724-6133 Ph: (301) 237-9694 | Avance Behavioral Advantage Llc 8040 Ians Aly Laurel MD 20724-6133 Ph: (301) 237-9694 |
| NPI Number | 1023884905 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023884905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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