Organization
EFFECTIVE INTERVENTION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH M FOSTER (PRESIDENT)
(240) 468-9540
Entity
Organization
Contact information
Practice address
12701 PAYAN ST, UPPER MARLBORO, MD 20772-6035
(240) 468-9540
Mailing address
12701 PAYAN ST, UPPER MARLBORO, MD 20772-6035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/01/2015
Last updated
02/03/2023
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