Organization
THE HOUSE PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JEAN BCBA (CLINICAL PROVIDER)
(301) 825-6265
Entity
Organization
Contact information
Practice address
5570 STERRETT PL STE 208, COLUMBIA, MD 21044-2649
(301) 615-1007
Mailing address
1218 SARGEANT ST, BALTIMORE, MD 21223-3630
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-36416
BLUE CROSS
MD
05
—
1-19-36416
—
MD
Enumeration date
09/17/2020
Last updated
01/07/2025
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