Organization
SIGNATURE BEHAVIOR ANALYTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISHA M GINGLES (OWNER)
(443) 304-8595
Entity
Organization
Contact information
Practice address
7001 JOHNNYCAKE RD STE 106, WINDSOR MILL, MD 21244-2419
(410) 774-9840
Mailing address
7001 JOHNNYCAKE RD STE 106, WINDSOR MILL, MD 21244-2419
(410) 774-9840
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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