Organization
DISCOVERY ABA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ELIAS (MANAGING DIRECTOR)
(718) 736-5689
Entity
Organization
Contact information
Practice address
15 WALKER AVE STE 103, PIKESVILLE, MD 21208-4023
(704) 561-1143
Mailing address
945 N CENTRAL AVE STE 201, WOODMERE, NY 11598-1604
(704) 561-1143
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
07/06/2021
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