Healthcare Provider Details

I. General information

NPI: 1265145551
Provider Name (Legal Business Name): SERENA MARY HESSION MS, LBA, BCBA, QBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E PRATT ST FL 8
BALTIMORE MD
21202-3180
US

IV. Provider business mailing address

2804 CAPRI DR
FORT WASHINGTON MD
20744-2211
US

V. Phone/Fax

Practice location:
  • Phone: 833-599-2560
  • Fax:
Mailing address:
  • Phone: 707-208-6435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-76794
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: