Organization
TEAM ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY KIRBY BCBA, LBA (CEO)
(301) 219-8190
Entity
Organization
Contact information
Practice address
8461 WINDING TRL, LAUREL, MD 20724-1435
(301) 219-8190
Mailing address
8461 WINDING TRL, LAUREL, MD 20724-1435
(301) 219-8190
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
305S00000X
Point of Service
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/22/2018
Last updated
10/04/2024
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