Individual
PHILLIP J COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA,LBA
Contact information
Practice address
9500 ANNAPOLIS RD. ST B2, LANHAM, MD 20706
(301) 850-1148
(866) 250-3233
Mailing address
9500 ANNAPOLIS RD. ST B2, LANHAM, MD 20706
(301) 850-1148
(866) 250-3233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1335
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/06/2018
Last updated
07/13/2022
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