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Organization

CULTIVATED APPLIED BEHAVIOR CONSULTANTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERTO GERALD (CEO)
(301) 399-5152
Entity
Organization

Contact information

Practice address
9303 OVERLOOK CIR, NEWBURG, MD 20664-2237
(301) 399-5152
Mailing address
9303 OVERLOOK CIR, NEWBURG, MD 20664-2237
(301) 399-5152

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician

Other

Enumeration date
08/29/2023
Last updated
09/07/2023
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