| Signature Behavioral Health | |
|
7001 Johnnycake Rd Ste 106 Windsor Mill MD 21244-2419 | |
| (443) 304-8595 | |
| Not Available |
| Full Name | Signature Behavioral Health |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7001 Johnnycake Rd Ste 106, Windsor Mill, Maryland |
| Authorized Official Name and Position | Denisha Gingles (OWNER) |
| Authorized Official Contact | 4433048595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Behavioral Health 7001 Johnnycake Rd Ste 106 Windsor Mill MD 21244-2419 Ph: (443) 304-8595 | Signature Behavioral Health 7001 Johnnycake Rd Ste 106 Windsor Mill MD 21244-2419 Ph: (443) 304-8595 |
| NPI Number | 1215401252 |
|---|---|
| Provider Enumeration Date | 01/12/2019 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215401252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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