Organization
FOUNDATIONS ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WISE (OWNER)
(404) 502-6868
Entity
Organization
Contact information
Practice address
7 GWYNNS MILL CT STE I, OWINGS MILLS, MD 21117-3528
(404) 502-6868
Mailing address
2405 STEELE RD, BALTIMORE, MD 21209-3924
(202) 706-5646
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/09/2024
Last updated
08/12/2024
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