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NPI Code Detail

MEDICARE: KLAIRE MATISSE ALGE BCBA, LBA

MEDICARE:   KLAIRE MATISSE ALGE  BCBA, LBA
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
1103K00000XBehavior Analyst0133004119VA

General Provider Information

NPI Number : 1881409357
Entity Type Code : Individual
Provider Name (Legal Business Name) : KLAIRE MATISSE ALGE BCBA, LBA
Provider Business Mailing Address
First Line : 7120 SAMUEL MORSE DR STE 150
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-3420
Country : US
Telephone Number : 888-344-5977
Fax Number :
Provider Business Practice Location Address
First Line : 2560 HUNTINGTON AVE STE 104
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22303-1448
Country : US
Telephone Number : 571-444-5047
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2025
Last Update Date : 01/15/2026

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Directions to “ KLAIRE MATISSE ALGE BCBA, LBA” Practice Location

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