Healthcare Provider Details

I. General information

NPI: 1194596551
Provider Name (Legal Business Name): LOVE CONQUERS ALL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2024
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1816 MIDDLEVALE TER
SILVER SPRING MD
20906-3349
US

IV. Provider business mailing address

1816 MIDDLEVALE TER
SILVER SPRING MD
20906-3349
US

V. Phone/Fax

Practice location:
  • Phone: 301-664-0010
  • Fax:
Mailing address:
  • Phone: 301-664-0010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY GIBSON
Title or Position: BCBA/ADMINISTRATOR
Credential: BCBA
Phone: 301-664-0010