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Individual

STEPHEN IRVING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA, LBA

Contact information

Practice address
500 REDLAND CT STE 102, OWINGS MILLS, MD 21117-3265
(443) 738-5110
Mailing address
2288 BLUE WATER BLVD, ODENTON, MD 21113-3309

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1721
MD
106S00000X
Behavior Technician

Other

Enumeration date
09/03/2020
Last updated
02/02/2024
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