Organization
PEDIATRIC SPEECH LAB
Active
Other names
Speech Lab ABA
Organization subpart
No
Provider details
NPI number
Authorized official
QUINTINA MARIA BRISCOE (CEO)
(202) 355-3839
Entity
Organization
Contact information
Practice address
11350 PEMBROOKE SQ STE 313, WALDORF, MD 20603-4809
(202) 355-3839
Mailing address
11350 PEMBROOKE SQ STE 313, WALDORF, MD 20603-4809
(202) 355-3839
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
09/02/2025
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