Individual
MRS. TALIA WALDSTREICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10015 OLD COLUMBIA RD, COLUMBIA, MD 21046-1703
(443) 800-4985
Mailing address
10015 OLD COLUMBIA RD, COLUMBIA, MD 21046-1703
(443) 800-4985
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1050
MD
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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