Individual
JACQUELYN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
14550 YORK RD, SPARKS, MD 21152-9307
(443) 330-7900
Mailing address
14550 YORK RD, SPARKS, MD 21152-9307
(443) 330-7900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA162
MD
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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