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Organization

AWAKEN LICENSED APPLIED BEHAVIORAL ANALYSIS SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PETAGAYE S. TOWNSEND MS, BCBA, LBA (CHIEF OPERATING OFFICER)
(914) 363-8313
Entity
Organization

Contact information

Practice address
8480 BALTIMORE NATIONAL PIKE STE 3210 #126, ELLICOTT CITY, MD 21043
(914) 713-7974
Mailing address
8480 BALTIMORE NATIONAL PIKE STE 3210 #126, ELLICOTT CITY, MD 21043
(914) 713-7974

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
01/18/2019
Last updated
04/30/2021
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