Individual
MARIEL A THOTTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
9727 GEORGIA AVE, SILVER SPRING, MD 20910-1458
(202) 420-8359
Mailing address
55 M ST NE APT 840, WASHINGTON, DC 20002-5187
(330) 417-7434
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/28/2019
Last updated
10/28/2019
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