MEDICARE: ANNIE MCLAUGHLIN CONSULTING

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
1	103K00000X	Behavior Analyst	BA-0032	MD

General Provider Information

NPI Number	:	1992251052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNIE MCLAUGHLIN CONSULTING

Provider Business Mailing Address
First Line	:	2036 E PRATT ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21231-1934
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2036 E PRATT ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21231-1934
Country	:	US
Telephone Number	:	410-630-1209
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CONSTANCE MCLAUGHLIN
Credential	:	PHD BCBA-D
Telephone Number	:	410-630-1209

Provider Enumeration Date	:	08/29/2016
Last Update Date	:	08/29/2016

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