Individual
JOSEPH RENNEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2733 QUARRY HEIGHTS WAY, BALTIMORE, MD 21209-1080
(443) 386-1882
(815) 301-8671
Mailing address
2733 QUARRY HEIGHTS WAY, BALTIMORE, MD 21209-1080
(443) 386-1882
(815) 301-8671
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA437
MD
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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