Organization
BEHAVIOR CHANGE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA HARDESTY M.A., BCBA (CERTIFIED BEHAVIOR ANALYST)
(804) 519-1360
Entity
Organization
Contact information
Practice address
2126 E BALTIMORE ST, BALTIMORE, MD 21231-2041
(804) 519-1360
Mailing address
2126 E BALTIMORE ST, BALTIMORE, MD 21231-2041
(804) 519-1360
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1062931
—
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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