Individual
COREY L DANZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 THOMAS SHILLING CT, UPPERCO, MD 21155-9334
(410) 720-9337
Mailing address
640 FREEDOM BUSINESS CTR DR STE 220, KING OF PRUSSIA, PA 19406-1376
(484) 965-9966
(484) 231-8631
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-316970
MD
Other
Enumeration date
12/05/2024
Last updated
06/06/2025
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