# CROWN ABA MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831901610
- **Authorized official:** ARI LEVINE (CEO)
- **Authorized official phone:** (917) 808-2631

## Contact information

- **Practice address:** 12530 FAIRWOOD PKWY STE 102, BOWIE, MD 20720-6357
- **Practice address phone:** (917) 808-2631
- **Mailing address:** 12530 FAIRWOOD PKWY, BOWIE, MD 20720-6356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2025
- **Last updated:** 01/23/2025