Individual
JIA WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
12504 TRIADELPHIA RD, ELLICOTT CITY, MD 21042-1152
(240) 319-1309
Mailing address
12504 TRIADELPHIA RD, ELLICOTT CITY, MD 21042-1152
(240) 319-1309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51256
MD
Other
Enumeration date
06/23/2022
Last updated
08/01/2022
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