Organization
ACUMENTAL LLC
Active
Other names
Autism Family Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK WAYNE HOOTS BCBA (DIRECTOR OF BEHAVIORAL SERVICES)
(410) 808-6561
Entity
Organization
Contact information
Practice address
25 PRIMROSE CT, PARKVILLE, MD 21234-3366
(410) 808-6561
(410) 869-2293
Mailing address
25 PRIMROSE CT, PARKVILLE, MD 21234-3366
(410) 808-6561
(410) 869-2293
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6427
MD
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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