Individual
MS. KELLY MARIE BANDZWOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1026 CROMWELL BRIDGE RD, TOWSON, MD 21286-3318
(410) 583-1515
Mailing address
1026 CROMWELL BRIDGE RD, TOWSON, MD 21286-3318
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11726538
MD
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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