Individual
JENNIFER FORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3054
(240) 298-0222
Mailing address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3054
(240) 298-0222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-14-6410
MD
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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