NPI 1114514544
Unique Jackson
Practice location
- Address
- 10999 Red Run Blvd STE 205, Owings Mills, MD 21117-3249
- Phone
- (443) 469-6216
Registered specialties (2)
Assistant Behavior Analyst
Primary
Behavior Analyst
Registry record
- NPI
- 1114514544
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Dec 2020
- Record last updated
- 31 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.