Individual
REBECCA MARIE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
7705 BARNSIDE CT, SEVERN, MD 21144-1325
(443) 474-6503
Mailing address
7705 BARNSIDE CT, SEVERN, MD 21144-1325
(443) 474-6503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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