Organization
EAGLES WILL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FISCHMAN (CEO)
(917) 648-4292
Entity
Organization
Contact information
Practice address
3809 CLARKS LN STE 100C, BALTIMORE, MD 21215-2749
(917) 648-4292
Mailing address
1413 38TH ST, BROOKLYN, NY 11218-3613
(718) 885-8055
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/13/2023
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