Healthcare Provider Details

I. General information

NPI: 1336935022
Provider Name (Legal Business Name): DUET ABA THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5764 STEVENS FOREST RD APT 418
COLUMBIA MD
21045-3760
US

IV. Provider business mailing address

PO BOX 26
AUBURN MI
48611-0026
US

V. Phone/Fax

Practice location:
  • Phone: 667-447-7868
  • Fax: 989-364-2048
Mailing address:
  • Phone: 989-859-0914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: JULIA A BEHMLANDER
Title or Position: CEO
Credential: BCBA
Phone: 667-447-7868