Individual
MS. KIMBERLY COURRAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
10015 OLD COLUMBIA RD STE B215, COLUMBIA, MD 21046-1865
(443) 800-4985
Mailing address
3717 BOSTON ST STE 148, BALTIMORE, MD 21224-5752
(443) 800-4985
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA038
MD
Other
Enumeration date
06/15/2011
Last updated
08/17/2020
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