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Organization

ACTIVE PSYCHOLOGY AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AARON BANAS PSYD (OWNER)
(914) 261-9295
Entity
Organization

Contact information

Practice address
1750 MONOCACY BLVD STE A, FREDERICK, MD 21701-5151
(914) 261-9295
Mailing address
18934 PORTERFIELD WAY, GERMANTOWN, MD 20874-1877
(914) 261-9295

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
11/20/2025
Last updated
11/20/2025
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