Healthcare Provider Details

I. General information

NPI: 1235947672
Provider Name (Legal Business Name): ASCENSION BEHAVIOR AND CHILD DEVELOPMENT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3261 OLD WASHINGTON ROAD STE. 2020
WALDORF MD
20602
US

IV. Provider business mailing address

3261 OLD WASHINGTON RD STE 2020
WALDORF MD
20602-3231
US

V. Phone/Fax

Practice location:
  • Phone: 443-345-8777
  • Fax:
Mailing address:
  • Phone: 443-345-8777
  • 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: MS. TONIE SMARR
Title or Position: CHIEF OPERATIONS OFFICER
Credential:
Phone: 443-345-8777