Organization
AUTASTIC ABA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA A PARKER M.ED, LBA (BCBA, LBA)
(202) 425-9513
Entity
Organization
Contact information
Practice address
6911 LAUREL BOWIE RD STE 309, BOWIE, MD 20715-1712
(301) 755-4021
Mailing address
6911 LAUREL BOWIE RD STE 309, BOWIE, MD 20715-1712
(301) 755-4021
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/06/2020
Last updated
01/03/2022
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