Organization
HUMANIM ABA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GALLOWAY (CREDENTIALING SPECIALIST)
(410) 381-7171
Entity
Organization
Contact information
Practice address
6355 WOODSIDE CT, COLUMBIA, MD 21046-1071
(410) 381-7171
Mailing address
6355 WOODSIDE CT, COLUMBIA, MD 21046-1071
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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