| Shining Moments Md Aba Llc | |
|
6340 Security Blvd Ste 1425 Baltimore MD 21207-5173 | |
| (917) 494-2481 | |
| (908) 573-9414 |
| Full Name | Shining Moments Md Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6340 Security Blvd Ste 1425, Baltimore, Maryland |
| Authorized Official Name and Position | Brittany Marshall (RCM) |
| Authorized Official Contact | 7138377655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Moments Md Aba Llc 6340 Security Blvd Ste 1425 Baltimore MD 21207-5173 Ph: () - | Shining Moments Md Aba Llc 6340 Security Blvd Ste 1425 Baltimore MD 21207-5173 Ph: (917) 494-2481 |
| NPI Number | 1174411045 |
|---|---|
| Provider Enumeration Date | 06/27/2025 |
| Last Update Date | 06/27/2025 |
| Certification Date | 06/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174411045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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