Individual
MRS. CAROLYN ANN DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED., BCBA
Contact information
Practice address
305 FAIRGROVE TER, GAITHERSBURG, MD 20877-3473
(301) 775-3428
Mailing address
305 FAIRGROVE TER, GAITHERSBURG, MD 20877-3473
(301) 775-3428
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8308
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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