Organization
BEHAVIOR CHANGE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SAMANTHA HARDESTY M.A., BCBA (CO-OWNER)
(804) 519-1360
Entity
Organization
Contact information
Practice address
2126 E BALTIMORE ST, BALTIMORE, MD 21231-2041
(804) 519-1360
Mailing address
2126 E BALTIMORE ST, BALTIMORE, MD 21231-2041
(804) 519-1360
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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