Individual
ELIZA CAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 BALTIMORE ANNAPOLIS BLVD STE 216-217, SEVERNA PARK, MD 21146-3931
(800) 676-5130
(888) 958-5753
Mailing address
1 VERNEY DR, GREENFIELD, NH 03047-5000
(603) 831-3091
(603) 410-1105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38417
NH
106S00000X
Behavior Technician
RBT-17-35873
MD
Other
Enumeration date
08/23/2017
Last updated
03/18/2021
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