Organization
AVANCE BEHAVIORAL ADVANTAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SORAYA DOS SANTOS (OWNER)
(301) 237-9694
Entity
Organization
Contact information
Practice address
8040 IANS ALY, LAUREL, MD 20724-6133
(301) 237-9694
Mailing address
8040 IANS ALY, LAUREL, MD 20724-6133
(301) 237-9694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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