Individual
MARYAM BOLOUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5457 TWIN KNOLLS RD STE 300-N18, COLUMBIA, MD 21045-3259
(301) 265-6442
Mailing address
7903 ORION CIR UNIT 360, LAUREL, MD 20724-3112
(301) 265-6442
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA2100
MD
Other
Enumeration date
12/06/2021
Last updated
06/17/2026
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