Healthcare Provider Details

I. General information

NPI: 1790798445
Provider Name (Legal Business Name): INTERGRATING CHILDREN AND KNOWLEDGE OF WASHINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 ACACIA AVENUE
BETHESDA MD
20814
US

IV. Provider business mailing address

5100 ACACIA AVENUE
BETHESDA MD
20814
US

V. Phone/Fax

Practice location:
  • Phone: 301-897-0815
  • Fax: 301-897-0819
Mailing address:
  • Phone: 301-897-0815
  • Fax: 301-897-0819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. CYNTHIA D ONDER
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential: MA CCC SLP BCBA
Phone: 301-897-0815