Individual
BRODY CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA, LBA
Contact information
Practice address
6006 PINEHURST RD, BALTIMORE, MD 21212-2918
(269) 806-0346
Mailing address
6006 PINEHURST RD, BALTIMORE, MD 21212-2918
(269) 806-0346
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1354
MD
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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