Individual
ASSANI MUDIMBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7090 SAMUEL MORSE DR STE 100, COLUMBIA, MD 21046-3444
(888) 344-5977
Mailing address
7505 WILDWOOD DR, TAKOMA PARK, MD 20912-7508
(301) 501-0532
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/12/2018
Last updated
04/30/2025
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