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NPI Code Detail

MEDICARE: WITHIN ME THERAPY, LLC

MEDICARE: WITHIN ME THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
32355S0801XSpeech-Language Assistant
4235Z00000XSpeech-Language Pathologist
5103K00000XBehavior Analyst

General Provider Information

NPI Number : 1356805139
Entity Type Code : Organization
Provider Name (Legal Business Name) : WITHIN ME THERAPY, LLC
Provider Business Mailing Address
First Line : 7375 EXECUTIVE PL STE 203
Second Line :
City : LANHAM
State : MD
Zip : 20706-6236
Country : US
Telephone Number : 301-970-9678
Fax Number :
Provider Business Practice Location Address
First Line : 7375 EXECUTIVE PL STE 203
Second Line :
City : LANHAM
State : MD
Zip : 20706-6236
Country : US
Telephone Number : 301-970-9678
Fax Number :
Authorized Official
Title or Position : BOARD CERTIFIED BEHAVIOR ANALYST
Name : MRS. LETICIA MORENO
Credential : M.A. ED, BCBA
Telephone Number : 914-494-3187
Provider Enumeration Date : 01/25/2019
Last Update Date : 09/25/2023

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Directions to “WITHIN ME THERAPY, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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