Healthcare Provider Details

I. General information

NPI: 1851892251
Provider Name (Legal Business Name): APPLIED BEHAVIOR AND LEARNING CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6504 MOUNTAINDALE RD
THURMONT MD
21788-2719
US

IV. Provider business mailing address

6504 MOUNTAINDALE RD
THURMONT MD
21788-2719
US

V. Phone/Fax

Practice location:
  • Phone: 443-243-7647
  • Fax:
Mailing address:
  • Phone: 301-524-8203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA041
License Number StateMD

VIII. Authorized Official

Name: DR. ANGELA BETH HESS
Title or Position: OWNER
Credential: BCBA-D, LBA
Phone: 301-524-8203