Organization
ABINTRA BREAKTHROUGH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME LYNN LANGDON (ASSISTANT)
(410) 714-4046
Entity
Organization
Contact information
Practice address
201 LOVE POINT RD, STEVENSVILLE, MD 21666
(941) 321-1968
Mailing address
201 LOVE POINT RD, STEVENSVILLE, MD 21666-2131
(941) 321-1968
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
967009200
—
MD
Enumeration date
01/15/2016
Last updated
05/27/2018
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