Organization
PURPLE HEART AUTISM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRISHA LUCAS (OWNER)
(443) 744-5368
Entity
Organization
Contact information
Practice address
5404 CATALPHA RD, BALTIMORE, MD 21214-1925
(443) 744-5368
Mailing address
5404 CATALPHA RD, BALTIMORE, MD 21214-1925
(443) 744-5368
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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