Individual
MAURA DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8950 ROUTE 108 STE 100, COLUMBIA, MD 21045-2146
(443) 863-6993
Mailing address
1651 OLD MEADOW RD STE 600, MC LEAN, VA 22102-4389
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA691
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/18/2017
Last updated
10/09/2019
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