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Organization

FUNCTIONALLY THRIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARIELLE DAVIS BCBA,LBA (FOUNDER/CLINICAL DIRECTOR)
(443) 707-9350
Entity
Organization

Contact information

Practice address
2345 YORK RD STE 304, LUTHERVILLE, MD 21093-2283
(443) 707-9350
Mailing address
2345 YORK RD STE 304, LUTHERVILLE, MD 21093-2283

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/01/2025
Last updated
12/01/2025
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