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NPI Code Detail

MEDICARE: BEHAVIOR TRAINING CONSULTATNTS LLC

MEDICARE: BEHAVIOR TRAINING CONSULTATNTS 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
1103K00000XBehavior Analyst1073577MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11154587707OTHERTRICARE

General Provider Information

NPI Number : 1972880730
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEHAVIOR TRAINING CONSULTATNTS LLC
Provider Business Mailing Address
First Line : 137 KENTUCKY AVE
Second Line :
City : PASADENA
State : MD
Zip : 21122-5400
Country : US
Telephone Number : 443-305-2276
Fax Number : 443-817-2375
Provider Business Practice Location Address
First Line : 137 KENTUCKY AVE
Second Line :
City : PASADENA
State : MD
Zip : 21122-5400
Country : US
Telephone Number : 443-305-2276
Fax Number : 443-817-2375
Authorized Official
Title or Position : PRESIDENT
Name : CHRISTINE KOHLHEPP
Credential : BCBA
Telephone Number : 443-305-2276
Provider Enumeration Date : 11/08/2011
Last Update Date : 11/08/2011

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Directions to “BEHAVIOR TRAINING CONSULTATNTS LLC ” Practice Location

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