| Maryland Autism Services, Llc | |
|
2925 Summer Hill Dr West Friendship MD 21794-9538 | |
| (202) 460-2693 | |
| Not Available |
| Full Name | Maryland Autism Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2925 Summer Hill Dr, West Friendship, Maryland |
| Authorized Official Name and Position | Megdelawit Eshetu Gebremedhin (OWNER) |
| Authorized Official Contact | 2024602693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Autism Services, Llc 2925 Summer Hill Dr West Friendship MD 21794-9538 Ph: () - | Maryland Autism Services, Llc 2925 Summer Hill Dr West Friendship MD 21794-9538 Ph: (202) 460-2693 |
| NPI Number | 1528859535 |
|---|---|
| Provider Enumeration Date | 05/16/2025 |
| Last Update Date | 05/28/2025 |
| Certification Date | 05/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528859535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Bloom Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3184 River Valley Chase, West Friendship, MD 21794 Phone: 443-457-0699 Fax: 917-268-9786 |