Individual
MISS MICHELLE P ANDERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
617 FRANKLIN AVE, BERLIN, MD 21811-1358
(443) 859-2691
Mailing address
617 FRANKLIN AVE, BERLIN, MD 21811-1358
(443) 859-2691
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1416
MD
Other
Enumeration date
02/14/2020
Last updated
12/01/2022
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