Individual
MICHELLE L BRITWUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
706 W PATRICK ST, FREDERICK, MD 21701-4030
(301) 882-7932
(301) 500-2173
Mailing address
706 W PATRICK ST, FREDERICK, MD 21701-4030
(301) 882-7932
(301) 500-2173
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1203
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14-10293
BEHAVIOR ANALYSIS CERTIFICATION BOARD (BACB)
PA
01
—
LBA1203
LICENSED BEHAVIOR ANALYST
MD
Enumeration date
09/16/2009
Last updated
02/08/2022
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