Organization
AUTISM SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA VANCE (BCBA)
(321) 704-9020
Entity
Organization
Contact information
Practice address
4818 ERTTER DR, ROCKVILLE, MD 20852-2202
(321) 704-9020
Mailing address
4818 ERTTER DR, ROCKVILLE, MD 20852-2202
(321) 704-9020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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