Organization
PLAYFUL PEAKS, ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTIE MICHELLE SMITH BCBA, LBA (OWNER)
(856) 993-1726
Entity
Organization
Contact information
Practice address
10632 DAVIS AVE, WOODSTOCK, MD 21163-1239
(856) 993-1726
Mailing address
10632 DAVIS AVE, WOODSTOCK, MD 21163-1239
(856) 993-1726
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
11/24/2024
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